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NPI 1194890988

NPI 1194890988 : CRAIG E. RIFFEL, D.C., PLLC : CLINTON TWP, MI

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General NPI Number Information
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    NPI Number           |    1194890988
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    Entity Type          |    Organization 
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    Legal Business Name  |    CRAIG E. RIFFEL, D.C., PLLC 
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Dates
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    Enumeration Date     |    11/21/2006
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    Last Update Date     |    09/12/2012
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Provider Practice Location Address
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    Address Line         |    36620 GARFIELD RD 
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    City                 |    CLINTON TWP
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    State                |    MI
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    Zip                  |    48035-1134
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    Country              |    US
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    Telephone            |    586-792-1800
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    Fax                  |    586-792-0612
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Provider Business Mailing Address
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    Address Line         |    36620 GARFIELD RD 
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    City                 |    CLINTON TWP
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    State                |    MI
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    Zip                  |    48035-1134
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    Country              |    US
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    Telephone            |    586-792-1800
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    Fax                  |    586-792-0612
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. CRAIG E. RIFFEL 
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    Credential           |    D.C.
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    Telephone            |    586-792-1800
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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       |    2301007211
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    License Number State |    MI
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