MEDICARE: DR. THOMAS G CZARNECKI 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
1	111N00000X	Chiropractor	2301004898	MI

General Provider Information

NPI Number	:	1215950019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS G CZARNECKI D.C.

Provider Business Mailing Address
First Line	:	7025 CAPRI DR
Second Line	:
City	:	WHITE LAKE
State	:	MI
Zip	:	48383-2826
Country	:	US
Telephone Number	:	248-747-8162
Fax Number	:

Provider Business Practice Location Address
First Line	:	7025 CAPRI DR
Second Line	:
City	:	WHITE LAKE
State	:	MI
Zip	:	48383
Country	:	US
Telephone Number	:	248-747-8162
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	12/04/2018

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