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Organization
WARDELL CHIROPRACTIC FAMILY HEALTH CENTER, P.C.
Active
Organization
WARDELL CHIROPRACTIC FAMILY HEALTH CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DALE WARDELL D.C. (PRESIDENT)
(734) 421-4110
Entity
Organization
Contact information
Practice address
28252 FORD RD, GARDEN CITY, MI 48135-2927
(734) 421-4110
(734) 421-4116
Mailing address
28252 FORD RD, GARDEN CITY, MI 48135-2927
(734) 421-4110
(734) 421-4116
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
KW007553
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4310208
—
MI
Enumeration date
12/12/2006
Last updated
08/22/2020
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