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General NPI Number Information
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NPI Number | 1730401340
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Entity Type | Organization
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Legal Business Name | SPINAL SOLUTIONS CHIROPRACTIC AND WELLNESS CENTER PLLC
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 55130 SHELBY RD STE A
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-1176
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Country | US
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Telephone | 586-992-6960
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Fax | 586-992-6962
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Provider Business Mailing Address
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Address Line | 55130 SHELBY RD STE A
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-1176
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Country | US
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Telephone | 586-992-6960
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Fax | 586-992-6962
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. STEPHANIE MARIE SERENKO
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Credential | D.C.
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Telephone | 586-524-1187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2301009477
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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