# MILLER CHIROPRACTIC LIFE CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609174762
- **Authorized official:** DR. CARL DANA MILLER DC (OWNER/PRESIDENT)
- **Authorized official phone:** (248) 348-3500

## Contact information

- **Practice address:** 41074 7 MILE RD, SUITE A, NORTHVILLE, MI 48167-2669
- **Practice address phone:** (248) 348-3500
- **Practice address fax:** (248) 348-1066
- **Mailing address:** 41074 7 MILE RD, SUITE A, NORTHVILLE, MI 48167-2669
- **Mailing address phone:** (248) 348-3500
- **Mailing address fax:** (248) 348-1066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 2301004002 | MI | Yes |

## Other

- **Enumeration date:** 03/14/2011
- **Last updated:** 03/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0Q25009 | BLUE CROSS BLUE SHIELD MICHIGAN | — |