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Dr. Renee Irene Pethtel, DC
Chiropractor in Dearborn Heights, Michigan
NPI 1760431977

Renee Irene Pethtel is a Chiropractor based in Dearborn Heights, MI. Renee Irene Pethtel practices in Dearborn Heights, MI and has the professional credentials of DC. The NPI Number for Renee Irene Pethtel is 1760431977 and holds a License No. 2301007287 (Michigan).

The current practice location address for Renee Irene Pethtel is 23610 Van Born Rd, Dearborn Heights, MI and can be reached out via phone at 313-291-1060 and via fax at 313-291-1089.

Location: 23610 Van Born Rd, Dearborn Heights, MI, 48125-2356
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760431977
Provider Name
Renee Irene Pethtel
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
23610 Van Born Rd, Dearborn Heights, MI, 48125-2356
Phone Number
313-291-1060
Fax Number
313-291-1089
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3264700 05 MI
950H253460 01 MI BCBS PPO
140343 01 MI PREFERRED CHOICES
P101064 01 MI BLUECARE NETWORK
11285842 01 MI CAQH
RP007287 01 MI BCBS ID
U61953 01 MI HAP
institution
Provider Business Practice Location Address Details
Address
23610 Van Born Rd
City
Dearborn Heights
State
Michigan
Zip
48125-2356
Phone Number
313-291-1060
Fax Number
313-291-1089
person
Provider Business Mailing Address Details
Address
23610 Van Born Rd
City
Dearborn Heights
State
Michigan
Zip
48125-2356
Phone Number
313-291-1060
Fax Number
313-291-1089
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2301007287 (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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