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Organization
WARREN CHIROPRACTIC & REHAB CLINIC P.C.
Active
Organization
WARREN CHIROPRACTIC & REHAB CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MOUSA MUFARREH D.C. (PRESIDENT)
(313) 240-7950
Entity
Organization
Contact information
Practice address
19201 W WARREN AVE, DETROIT, MI 48228-3393
(313) 240-7950
Mailing address
PO BOX 811, DEARBORN, MI 48121-0811
(313) 240-7950
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4384972
—
MI
01
—
JM008246
BCBS
MI
Enumeration date
03/13/2008
Last updated
03/13/2008
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