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Shane Michael Cousineau, DC
Chiropractor in Gaylord, Michigan
NPI 1871522961

Shane Michael Cousineau is a Chiropractor based in Gaylord, MI. Shane Michael Cousineau practices in Gaylord, MI and has the professional credentials of DC. The NPI Number for Shane Michael Cousineau is 1871522961 and holds a License No. SC008123 (Michigan).

The current practice location address for Shane Michael Cousineau is 997 N Center Ave, Gaylord, MI and can be reached out via phone at 989-732-2225 and via fax at 989-731-6776.

Location: 997 N Center Ave, Gaylord, MI, 49735-9375
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871522961
Provider Name
Shane Michael Cousineau
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
997 N Center Ave, Gaylord, MI, 49735-9375
Phone Number
989-732-2225
Fax Number
989-731-6776
Provider Enumeration Date
07/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4259114 05 MI
institution
Provider Business Practice Location Address Details
Address
997 N Center Ave
City
Gaylord
State
Michigan
Zip
49735-9375
Phone Number
989-732-2225
Fax Number
989-731-6776
person
Provider Business Mailing Address Details
Address
997 N Center Ave
City
Gaylord
State
Michigan
Zip
49735-9375
Phone Number
989-732-2225
Fax Number
989-731-6776
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
SC008123 (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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