Healthcare Provider Details

I. General information

NPI: 1598761488
Provider Name (Legal Business Name): TERESA MARIE SAUNDERS DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8505 MAIN ST
WHITMORE LAKE MI
48189-9248
US

IV. Provider business mailing address

PO BOX 672
WHITMORE LAKE MI
48189-0672
US

V. Phone/Fax

Practice location:
  • Phone: 734-449-4435
  • Fax:
Mailing address:
  • Phone: 734-449-8564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301004169
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: