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Mr. Robert Anthony Koch, DCPC
Chiropractor in Southgate, Michigan
NPI 1710078985

Robert Anthony Koch is a Chiropractor based in Southgate, MI. Robert Anthony Koch practices in Southgate, MI and has the professional credentials of DCPC. The NPI Number for Robert Anthony Koch is 1710078985 and holds a License No. 2301004639 (Michigan).

The current practice location address for Robert Anthony Koch 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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710078985
Provider Name
Robert Anthony Koch
Credential
DCPC
Provider Entity Type
Individual
Gender
Male
Address
14720 Fort St, Southgate, MI, 48195-1217
Phone Number
734-281-2400
Fax Number
734-281-1795
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0Q25076 01 MI BCBSM
4504093 01 MI AETNA
C7938 01 MI M-CARE
T33835 05 MI
institution
Provider Business Practice Location Address Details
Address
14720 Fort St
City
Southgate
State
Michigan
Zip
48195-1217
Phone Number
734-281-2400
Fax Number
734-281-1795
person
Provider Business Mailing Address Details
Address
14720 Fort St
City
Southgate
State
Michigan
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
111N00000X
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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