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NPI Code Detail

MEDICARE: STONEY CREEK CHIROPRACTIC PLLC

MEDICARE: STONEY CREEK CHIROPRACTIC PLLC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1033534110
Entity Type Code : Organization
Provider Name (Legal Business Name) : STONEY CREEK CHIROPRACTIC PLLC
Provider Business Mailing Address
First Line : 6003 26 MILE RD
Second Line :
City : WASHINGTON TWP
State : MI
Zip : 48094-2800
Country : US
Telephone Number : 586-677-4400
Fax Number : 586-677-4401
Provider Business Practice Location Address
First Line : 6003 26 MILE RD
Second Line :
City : WASHINGTON TWP
State : MI
Zip : 48094-2800
Country : US
Telephone Number : 586-677-4400
Fax Number : 586-677-4401
Authorized Official
Title or Position : OWNER
Name : DR. SCOTT ALLEN WITINKO
Credential : D.C.
Telephone Number : 586-677-4400
Provider Enumeration Date : 02/26/2014
Last Update Date : 07/02/2014

Similar Medicare Providers

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Directions to “STONEY CREEK CHIROPRACTIC PLLC ” Practice Location

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