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NPI Code Detail

MEDICARE: KATIE GRECH D.C., P.C.

MEDICARE: KATIE GRECH D.C., P.C.
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 : 1740813567
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATIE GRECH D.C., P.C.
Provider Business Mailing Address
First Line : 1147 E LONG LAKE RD STE 3
Second Line :
City : TROY
State : MI
Zip : 48085-4943
Country : US
Telephone Number : 248-524-2223
Fax Number : 248-524-1398
Provider Business Practice Location Address
First Line : 1147 E LONG LAKE RD STE 3
Second Line :
City : TROY
State : MI
Zip : 48085-4943
Country : US
Telephone Number : 248-524-2223
Fax Number : 248-524-1398
Authorized Official
Title or Position : OWNER
Name : KATIE CHERIE GRECH
Credential : D.C.
Telephone Number : 248-524-2223
Provider Enumeration Date : 02/20/2020
Last Update Date : 02/20/2020

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Directions to “KATIE GRECH D.C., P.C. ” Practice Location

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