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Organization
WEST BRANCH CHIROPRACTIC CENTER, PC
Active
Organization
WEST BRANCH CHIROPRACTIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DREW J MARENTETTE D.C. (OWNER)
(989) 345-3310
Entity
Organization
Contact information
Practice address
110 E HOUGHTON AVE, WEST BRANCH, MI 48661-1124
(989) 345-3310
(989) 345-6610
Mailing address
110 E HOUGHTON AVE, WEST BRANCH, MI 48661-1124
(989) 345-3310
(989) 345-6610
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DM007681
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F510500
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
950F55000
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
06/19/2007
Last updated
03/31/2009
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