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General NPI Number Information
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NPI Number | 1548488521
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Entity Type | Organization
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Legal Business Name | MACOMB CHIROPRACTIC CENTERS, P.C.
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 05/21/2020
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Provider Practice Location Address
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Address Line | 14300 15 MILE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-5510
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Country | US
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Telephone | 586-979-6460
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Fax | 586-979-4005
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Provider Business Mailing Address
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Address Line | 14300 15 MILE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-5510
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Country | US
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Telephone | 586-979-6460
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Fax | 586-979-4005
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARTIN JOEL BROWN
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Credential | D.C.
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Telephone | 586-979-6460
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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 | MB005127
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License Number State | MI
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