MEDICARE: DR. AYESHA QURESHI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1215170295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. AYESHA QURESHI

Provider Business Mailing Address
First Line	:	37 S MAIN ST
Second Line	:
City	:	CLAWSON
State	:	MI
Zip	:	48017-2061
Country	:	US
Telephone Number	:	248-543-5470
Fax Number	:

Provider Business Practice Location Address
First Line	:	37 S MAIN ST
Second Line	:
City	:	CLAWSON
State	:	MI
Zip	:	48017-2061
Country	:	US
Telephone Number	:	248-543-5470
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. AYESHA MARYAM QURESHI
Credential	:	D.C.
Telephone Number	:	248-543-5470

Provider Enumeration Date	:	04/07/2009
Last Update Date	:	04/07/2009

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Directions to “DR. AYESHA QURESHI ” Practice Location

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