MEDICARE: TERESA MARIE SAUNDERS DC

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	2301004169	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P60861	OTHER	MI	BLUE CARE NETWORK
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	126937	OTHER	MI	SELECT CARE PPO

General Provider Information

NPI Number	:	1598761488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA MARIE SAUNDERS DC

Provider Business Mailing Address
First Line	:	PO BOX 672
Second Line	:
City	:	WHITMORE LAKE
State	:	MI
Zip	:	48189-0672
Country	:	US
Telephone Number	:	734-449-8564
Fax Number	:

Provider Business Practice Location Address
First Line	:	8505 MAIN ST
Second Line	:
City	:	WHITMORE LAKE
State	:	MI
Zip	:	48189-9248
Country	:	US
Telephone Number	:	734-449-4435
Fax Number	:

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

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	04/10/2008

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Directions to “ TERESA MARIE SAUNDERS DC” Practice Location

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