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Organization
WYOMING CHIROPRACTIC HEALTH CLINIC,P.C.
Active
Organization
WYOMING CHIROPRACTIC HEALTH CLINIC,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASSAN MOHAMAD REICHOUNI D.C. (PRESIDENT)
(313) 933-1256
Entity
Organization
Contact information
Practice address
7601 WYOMING ST, DEARBORN, MI 48126-1638
(313) 933-1256
(313) 933-2252
Mailing address
5838 KENILWORTH ST, DEARBORN, MI 48126-2153
(313) 581-5786
(313) 933-2252
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008359
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17354
GREAT LAKES HEALTH PLAN
MI
05
—
4290043
—
MI
01
—
5215
CAPE HEALTH PLAN
MI
01
—
P98795
BCN
MI
Enumeration date
12/22/2006
Last updated
08/22/2020
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