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NPI Code Detail

MEDICARE: ABC CHIROPRACTIC CARE PC

MEDICARE: ABC CHIROPRACTIC CARE 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

General Provider Information

NPI Number : 1871727529
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABC CHIROPRACTIC CARE PC
Provider Business Mailing Address
First Line : 3283 W SILVER LAKE RD
Second Line :
City : FENTON
State : MI
Zip : 48430-1369
Country : US
Telephone Number : 810-750-0222
Fax Number : 810-750-6222
Provider Business Practice Location Address
First Line : 3283 W SILVER LAKE RD
Second Line :
City : FENTON
State : MI
Zip : 48430-1369
Country : US
Telephone Number : 810-750-0222
Fax Number : 810-750-6222
Authorized Official
Title or Position : PRESIDENT
Name : TIMOTHY J SUSZKO
Credential : DC
Telephone Number : 810-750-0222
Provider Enumeration Date : 05/11/2009
Last Update Date : 05/11/2009

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Directions to “ABC CHIROPRACTIC CARE PC ” Practice Location

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