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Great Lakes Spine & Rehab Clinic Llc
Chiropractor in Riverview, Michigan
NPI 1285929547

Great Lakes Spine & Rehab Clinic Llc is a Chiropractor based in Riverview, MI. Great Lakes Spine & Rehab Clinic Llc practices in Riverview, MI. The NPI Number for Great Lakes Spine & Rehab Clinic Llc is 1285929547 and holds a License No. RS008086 (Michigan).

The current practice location address for Great Lakes Spine & Rehab Clinic Llc is 14500 King Rd, Riverview, MI and can be reached out via phone at 734-560-7300 and via fax at 734-250-7454.

Location: 14500 King Rd, Riverview, MI, 48193-7957
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285929547
Provider Name
Great Lakes Spine & Rehab Clinic Llc
Credential
Provider Entity Type
Organization
Address
14500 King Rd, Riverview, MI, 48193-7957
Phone Number
734-560-7300
Fax Number
734-250-7454
Provider Enumeration Date
06/15/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4829904-14 05 MI
950H217760 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
14500 King Rd
City
Riverview
State
Michigan
Zip
48193-7957
Phone Number
734-560-7300
Fax Number
734-250-7454
person
Provider Business Mailing Address Details
Address
14500 King Rd
City
Riverview
State
Michigan
Zip
48193-7957
Phone Number
734-560-7300
Fax Number
734-250-7454
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
RS008086 (Michigan)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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