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Gary P Blackburn, DC
Chiropractor in Lathrup Village, Michigan
NPI 1598858532

Gary P Blackburn is a Chiropractor based in Royal Oak, MI. Gary P Blackburn practices in Lathrup Village, MI and has the professional credentials of DC. The NPI Number for Gary P Blackburn is 1598858532 and holds a License No. 2301007072 (Michigan).

The current practice location address for Gary P Blackburn is 26751 Southfield Rd, Lathrup Village, MI and can be reached out via phone at 248-552-0510.

Location: 26751 Southfield Rd, Lathrup Village, MI, 48073-3190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598858532
Provider Name
Gary P Blackburn
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
26751 Southfield Rd, Lathrup Village, MI, 48073-3190
Phone Number
248-552-0510
Fax Number
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0F33395 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
26751 Southfield Rd
City
Lathrup Village
State
Michigan
Zip
48076-4532
Phone Number
248-552-0510
Fax Number
person
Provider Business Mailing Address Details
Address
26751 Southfield Rd
City
Lathrup Village
State
Michigan
Zip
48076-4532
Phone Number
248-552-0510
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2301007072 (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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