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Organization
WELLSPINE PC
Active
Organization
WELLSPINE PC
Active
Other names
WellSpine Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH GUTHRIE DC (PRESIDENT WELLSPINE PC)
(586) 731-1188
Entity
Organization
Contact information
Practice address
8187 RHODE DR STE A, SHELBY TOWNSHIP, MI 48317-3279
(586) 731-1188
(586) 731-1184
Mailing address
8187 RHODE DR STE A, SHELBY TOWNSHIP, MI 48317-3279
(586) 731-1188
(586) 731-1184
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009697
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12153410
CAQH
—
01
—
1285942136
INDIVIDUAL NPI
—
01
—
OH70204
BCBS PROVIDER ID
—
Enumeration date
09/06/2012
Last updated
09/06/2012
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