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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.

Location: 18551 W 10 Mile Rd, Southfield, MI, 48075-2663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Southfield
State
Michigan
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
Southfield
State
Michigan
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
111N00000X
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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