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Organization
WHITE LAKE CHIROPRACTIC D O P C
Active
Organization
WHITE LAKE CHIROPRACTIC D O P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID T MITCHELL D.C. (OWNER)
(248) 698-6920
Entity
Organization
Contact information
Practice address
6929 HIGHLAND RD, WATERFORD, MI 48327-1679
(248) 698-6920
(248) 698-6923
Mailing address
6929 HIGHLAND RD, WATERFORD, MI 48327-1679
(248) 698-6920
(248) 698-6923
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DM006064
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103833049
—
MI
01
—
950F35490
BCBSM
MI
01
—
95OF36930
BCBSM
MI
Enumeration date
01/16/2008
Last updated
08/04/2011
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