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NPI Code Detail

MEDICARE: MICHAEL ROLAND GERMANN FITZSIMMONS DC, MS

MEDICARE: MICHAEL ROLAND GERMANN FITZSIMMONS DC, MS
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
1111N00000XChiropractor15776TX
2111NR0400XRehabilitation Chiropractor15776TX

General Provider Information

NPI Number : 1811776651
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ROLAND GERMANN FITZSIMMONS DC, MS
Provider Business Mailing Address
First Line : 2761 E TRINITY MILLS RD STE 100
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-3507
Country : US
Telephone Number : 214-233-5512
Fax Number :
Provider Business Practice Location Address
First Line : 2761 E TRINITY MILLS RD STE 100
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-3507
Country : US
Telephone Number : 214-233-5512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2023
Last Update Date : 09/21/2023

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