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NPI Code Detail

MEDICARE: CRAFT CHIROPRACTIC CENTER PC

MEDICARE: CRAFT CHIROPRACTIC CENTER PC
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1950C410120OTHERMIBCBSMI

General Provider Information

NPI Number : 1164577698
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRAFT CHIROPRACTIC CENTER PC
Provider Business Mailing Address
First Line : PO BOX 367
Second Line :
City : PORTLAND
State : MI
Zip : 48875-0367
Country : US
Telephone Number : 517-647-5770
Fax Number : 517-647-5773
Provider Business Practice Location Address
First Line : 9751 E GRAND RIVER AVE
Second Line :
City : PORTLAND
State : MI
Zip : 48875-9774
Country : US
Telephone Number : 517-647-5770
Fax Number : 517-647-5773
Authorized Official
Title or Position : OWNER
Name : DENNIS R CRAFT
Credential : DC
Telephone Number : 517-647-5770
Provider Enumeration Date : 01/24/2007
Last Update Date : 12/29/2016

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Directions to “CRAFT CHIROPRACTIC CENTER PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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