MEDICARE: DEREK L BITTNER DCPC

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		MI

General Provider Information

NPI Number	:	1437375474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEREK L BITTNER DCPC

Provider Business Mailing Address
First Line	:	13927 PLUMBROOK
Second Line	:
City	:	STERLING HTS
State	:	MI
Zip	:	48312
Country	:	US
Telephone Number	:	586-978-8088
Fax Number	:	586-978-8085

Provider Business Practice Location Address
First Line	:	13927 PLUMBROOK
Second Line	:
City	:	STERLING HTS
State	:	MI
Zip	:	48312
Country	:	US
Telephone Number	:	586-978-8088
Fax Number	:	586-978-8085

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. CHONDREA MARIE GRANT
Credential	:
Telephone Number	:	586-978-8088

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	07/21/2022

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