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NPI Code Detail

MEDICARE: DR. BRADLEY ADAM SABO D.C.

MEDICARE: DR. BRADLEY ADAM SABO D.C.
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
1111N00000XChiropractor2301009859MI

General Provider Information

NPI Number : 1215218524
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADLEY ADAM SABO D.C.
Provider Business Mailing Address
First Line : 25 S LAPEER ST
Second Line :
City : LAKE ORION
State : MI
Zip : 48362-3182
Country : US
Telephone Number : 248-693-4800
Fax Number : 248-693-3539
Provider Business Practice Location Address
First Line : 25 S LAPEER ST
Second Line :
City : LAKE ORION
State : MI
Zip : 48362-3182
Country : US
Telephone Number : 248-693-4800
Fax Number : 248-693-3539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2011
Last Update Date : 08/31/2011

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