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General NPI Number Information
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NPI Number | 1356502249
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC WELLNESS CENTER OF CARO PLLC
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 07/13/2017
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Provider Practice Location Address
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Address Line | 758 N STATE ST
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City | CARO
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State | MI
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Zip | 48723-1546
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Country | US
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Telephone | 989-672-4141
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Fax | 989-672-4040
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Provider Business Mailing Address
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Address Line | 758 N STATE ST
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City | CARO
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State | MI
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Zip | 48723-1546
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Country | US
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Telephone | 989-672-4141
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Fax | 989-672-4040
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT W GABRIEL
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Credential | D.C.
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Telephone | 989-672-4141
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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 | 2301007693
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License Number State | MI
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