MEDICARE: DR. KRIS MERCADO DC, LAC

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	2301011157	MI
2	171100000X	Acupuncturist	5402000309	MI

General Provider Information

NPI Number	:	1225709439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRIS MERCADO DC, LAC

Provider Business Mailing Address
First Line	:	5958 N CANTON CENTER RD STE 300
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-2766
Country	:	US
Telephone Number	:	734-709-1168
Fax Number	:

Provider Business Practice Location Address
First Line	:	5958 N CANTON CENTER RD STE 300
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-2766
Country	:	US
Telephone Number	:	734-709-1168
Fax Number	:

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

Provider Enumeration Date	:	09/27/2021
Last Update Date	:	01/14/2026

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Directions to “ DR. KRIS MERCADO DC, LAC” Practice Location

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