O Dell Chiropractic Center Pc

NPI 1295751873 - Chiropractor - 111N00000X

NPI Details
NPI 1295751873
Enumeration Date 07/15/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DEBORAH L DEBORAH
Position OFFICE MANAGER
Phone (248) 624-6111
Fax (248) 624-6129
Practice Location
1183 PONTIAC TRAIL
WALLED LAKE MI, 48390, US
Phone (248) 624-6111
Fax (248) 624-6129
Business Location
1183 PONTIAC TRAIL
WALLED LAKE MI, 48390, US
Phone (248) 624-6111
Fax (248) 624-6129
Toxanomy
Taxonomy Code 111N00000X
License State Michigan
License Number 2301007934
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According to our database, O Dell Chiropractic Center Pc NPI is 1295751873, taxonomy code is 111N00000X and license number is 2301007934, license state is located at Michigan. O Dell Chiropractic Center Pc physically located at 1183 Pontiac Trail, Walled Lake MI, 48390. NPI Number 1033115704 has the healthcare provider type.

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1295751873 NPI number is provided on an as is basis without warranty of any kind. 1295751873 is maintained by the National Plan & Provider Enumeration System. The contents of O Dell Chiropractic Center Pc are for informational purposes only.