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Custom Chiropractic & Wellness Inc
Chiropractor in Lake Orion, Michigan
NPI 1285985374

Custom Chiropractic & Wellness Inc is a Chiropractor based in Lake Orion, MI. Custom Chiropractic & Wellness Inc practices in Lake Orion, MI. The NPI Number for Custom Chiropractic & Wellness Inc is 1285985374 and holds a License No. 2301009664 (Michigan).

The current practice location address for Custom Chiropractic & Wellness Inc is 3631 S Baldwin Rd, Lake Orion, MI and can be reached out via phone at 248-391-5400 and via fax at 248-391-5404.

Location: 3631 S Baldwin Rd, Lake Orion, MI, 48359-1506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285985374
Provider Name
Custom Chiropractic & Wellness Inc
Credential
Provider Entity Type
Organization
Address
3631 S Baldwin Rd, Lake Orion, MI, 48359-1506
Phone Number
248-391-5400
Fax Number
248-391-5404
Provider Enumeration Date
09/28/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
950F39332 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3631 S Baldwin Rd
City
Lake Orion
State
Michigan
Zip
48359-1506
Phone Number
248-391-5400
Fax Number
248-391-5404
person
Provider Business Mailing Address Details
Address
3631 S Baldwin Rd
City
Lake Orion
State
Michigan
Zip
48359-1506
Phone Number
248-391-5400
Fax Number
248-391-5404
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2301009664 (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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