person
Sissay Tezera, DC
Chiropractor in Southfield, Michigan
NPI 1962461509

Sissay Tezera is a Chiropractor based in Southfield, MI. Sissay Tezera practices in Southfield, MI and has the professional credentials of DC. The NPI Number for Sissay Tezera is 1962461509 and holds a License No. ST006145 (Michigan).

The current practice location address for Sissay Tezera is 18551 W 10 Mile Rd, Southfield, MI and can be reached out via phone at 248-443-1995 and via fax at 248-443-5573. You can also correspond with Sissay Tezera through the mailing address at 18551 W 10 MILE RD, SOUTHFIELD, MI - 48075-2663 (mailing address contact number: 248-443-1995).

Location: 18551 W 10 Mile Rd, Southfield, MI, 48075-2663
person
Provider Profile Details
NPI Number
1962461509
Provider Name
Sissay Tezera
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
18551 W 10 Mile Rd, Southfield, MI, 48075-2663
Phone Number
248-443-1995
Fax Number
248-443-5573
Provider Enumeration Date
03/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95OF373730 01 MI BCBS
ST006145 01 MI LICENSE
institution
Provider Business Practice Location Address Details
Address
18551 W 10 Mile Rd
City
State
Zip
48075-2663
Phone Number
248-443-1995
Fax Number
248-443-5573
person
Provider Business Mailing Address Details
Address
18551 W 10 Mile Rd
City
State
Zip
48075-2663
Phone Number
248-443-1995
Fax Number
248-443-5573
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
ST006145 (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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