institution
Robert A Koch D.c.p.c.
Chiropractor in Southgate, Michigan
NPI 1649460346

Robert A Koch D.c.p.c. is a Chiropractor based in Southgate, MI. Robert A Koch D.c.p.c. practices in Southgate, MI. The NPI Number for Robert A Koch D.c.p.c. is 1649460346 and holds a License No. 2301004639 (Michigan).

The current practice location address for Robert A Koch D.c.p.c. is 14720 Fort St, Southgate, MI and can be reached out via phone at 734-281-2400 and via fax at 734-281-1795.

Location: 14720 Fort St, Southgate, MI, 48195-1217
institution
Provider Profile Details
NPI Number
1649460346
Provider Name
Robert A Koch D.c.p.c.
Credential
Provider Entity Type
Organization
Address
14720 Fort St, Southgate, MI, 48195-1217
Phone Number
734-281-2400
Fax Number
734-281-1795
Provider Enumeration Date
07/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T33835 05 MI
350025410 01 MI RAILROAD MEDICARE
C7938 01 MI ACN
4504093 01 MI AETNA
institution
Provider Business Practice Location Address Details
Address
14720 Fort St
City
State
Zip
48195-1217
Phone Number
734-281-2400
Fax Number
734-281-1795
person
Provider Business Mailing Address Details
Address
14720 Fort St
City
State
Zip
48195-1217
Phone Number
734-281-2400
Fax Number
734-281-1795
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
2301004639 (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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