Cw Odell Chiropractic Clinic

NPI 1083754477 - Chiropractor - 111N00000X

NPI Details
NPI 1083754477
Enumeration Date 02/07/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CLAIR W CLAIR
Position PRESIDENT OWNER
Phone (734) 824-2828
Fax (734) 284-0322
Practice Location
14390 FORT ST
SOUTHGATE MI, 48195-1271, US
Phone (734) 824-2828
Fax (734) 284-0322
Business Location
14390 FORT ST
SOUTHGATE MI, 48195-1271, US
Phone (734) 824-2828
Fax (734) 284-0322
Toxanomy
Taxonomy Code 111N00000X
License State Michigan
License Number 2301000765
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According to our database, Cw Odell Chiropractic Clinic NPI is 1083754477, taxonomy code is 111N00000X and license number is 2301000765, license state is located at Michigan. Cw Odell Chiropractic Clinic physically located at 14390 Fort St, Southgate MI, 48195-1271. NPI Number 1033115704 has the healthcare provider type.

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1083754477 NPI number is provided on an as is basis without warranty of any kind. 1083754477 is maintained by the National Plan & Provider Enumeration System. The contents of Cw Odell Chiropractic Clinic are for informational purposes only.