Healthcare Provider Details

I. General information

NPI: 1730401340
Provider Name (Legal Business Name): SPINAL SOLUTIONS CHIROPRACTIC AND WELLNESS CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2010
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55130 SHELBY RD STE A
SHELBY TOWNSHIP MI
48316-1176
US

IV. Provider business mailing address

55130 SHELBY RD STE A
SHELBY TOWNSHIP MI
48316-1176
US

V. Phone/Fax

Practice location:
  • Phone: 586-992-6960
  • Fax: 586-992-6962
Mailing address:
  • Phone: 586-992-6960
  • Fax: 586-992-6962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number2301009477
License Number StateMI

VIII. Authorized Official

Name: DR. STEPHANIE MARIE SERENKO
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 586-524-1187