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NPI Code Detail

MEDICARE: DR. MIRANDA COTTRELL DC

MEDICARE:  DR. MIRANDA  COTTRELL  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2301011058MI

General Provider Information

NPI Number : 1013502608
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIRANDA COTTRELL DC
Provider Business Mailing Address
First Line : 53 CHRISTOPHER CT
Second Line :
City : BAY CITY
State : MI
Zip : 48706-3474
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1570 S EUCLID AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48706-3318
Country : US
Telephone Number : 989-200-7473
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2021
Last Update Date : 01/21/2025

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Directions to “ DR. MIRANDA COTTRELL DC” Practice Location

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