Healthcare Provider Details

I. General information

NPI: 1376553974
Provider Name (Legal Business Name): DENNIS ROBERT WARNER BS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8941 LEWIS AVE
TEMPERANCE MI
48182-1656
US

IV. Provider business mailing address

8941 LEWIS AVE
TEMPERANCE MI
48182-1656
US

V. Phone/Fax

Practice location:
  • Phone: 734-847-1111
  • Fax: 734-847-3392
Mailing address:
  • Phone: 734-847-1111
  • Fax: 734-847-3392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number002794
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: