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NPI 1013264241

NPI 1013264241 : KRAMER CHIROPRACTIC PC : LIVONIA, MI

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General NPI Number Information
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    NPI Number           |    1013264241
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    Entity Type          |    Organization 
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    Legal Business Name  |    KRAMER CHIROPRACTIC PC 
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Dates
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    Enumeration Date     |    08/07/2012
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    Last Update Date     |    08/07/2012
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Provider Practice Location Address
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    Address Line         |    34441 8 MILE RD STE 116 
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    City                 |    LIVONIA
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    State                |    MI
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    Zip                  |    48152-4013
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    Country              |    US
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    Telephone            |    248-615-1533
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    Fax                  |    248-615-9068
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Provider Business Mailing Address
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    Address Line         |    34441 8 MILE RD STE 116 
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    City                 |    LIVONIA
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    State                |    MI
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    Zip                  |    48152-4013
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    Country              |    US
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    Telephone            |    248-615-1533
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    Fax                  |    248-615-9068
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Authorized Official
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    Title or Position    |    PRESIDENT / OWNER
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    Name                 |    DR. GREGORY MICHAEL KRAMER 
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    Credential           |    D.C.
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    Telephone            |    248-615-1533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    2301005503
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    License Number State |    MI
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