MEDICARE: DAUDE FAMILY CHIROPRACTIC 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
1	111N00000X	Chiropractor	2301007548	MI

General Provider Information

NPI Number	:	1336273358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAUDE FAMILY CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	55185 SHELBY RD
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48316-1150
Country	:	US
Telephone Number	:	248-650-5200
Fax Number	:

Provider Business Practice Location Address
First Line	:	55185 SHELBY RD
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48316-1150
Country	:	US
Telephone Number	:	248-650-5200
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CLAUDIA DAUDE
Credential	:	DC
Telephone Number	:	24865065200

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	08/22/2020

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