Advanced Chiropractic

NPI 1104245653 - Chiropractor - 111NR0400X

NPI Details
NPI 1104245653
Enumeration Date 04/14/2014
Last Updated 04/14/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name REZA REZA
Position CHIROPRACTIC
Phone (313) 420-9655
Fax
Practice Location
17600 W WARREN AVE
DETROIT MI, 48228-3509, US
Phone (313) 420-9655
Fax
Business Location
17600 W WARREN AVE
DETROIT MI, 48228-3509, US
Phone (313) 420-9655
Fax
Toxanomy
Taxonomy Code 111NR0400X
License State Michigan
License Number 2301007342
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According to our database, Advanced Chiropractic NPI is 1104245653, taxonomy code is 111NR0400X and license number is 2301007342, license state is located at Michigan. Advanced Chiropractic physically located at 17600 W Warren Ave, Detroit MI, 48228-3509. NPI Number 1033115704 has the healthcare provider type.

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1104245653 NPI number is provided on an as is basis without warranty of any kind. 1104245653 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Chiropractic are for informational purposes only.