Healthcare Provider Details

I. General information

NPI: 1598786238
Provider Name (Legal Business Name): WARNER CHIROPRACTIC CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 08/22/2020
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: DENNIS WARNER
Title or Position: OWNER
Credential: CHIROPRACTOR
Phone: 734-847-1111