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Organization
VAN DYKE SPINAL REHABILITATION
Active
Organization
VAN DYKE SPINAL REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S MEERON DC (CHIROPRACTOR (OWNER))
(586) 754-4690
Entity
Organization
Contact information
Practice address
22860 VAN DYKE AVE, WARREN, MI 48089-2347
(586) 754-4690
(586) 754-4680
Mailing address
PO BOX 381008, CLINTON TWP, MI 48038-0075
(586) 754-4690
(586) 754-4680
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005397
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950E017740
BCBS PROVIDER NUMBER
MI
Enumeration date
01/25/2007
Last updated
12/03/2010
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