Organization
FOUR STAR CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA MARIE TERNES D.C. (PRESIDENT)
(313) 806-3500
Entity
Organization
Contact information
Practice address
22264 MADISON ST, DEARBORN, MI 48124-3608
(313) 806-3500
(313) 359-1573
Mailing address
22264 MADISON ST, DEARBORN, MI 48124-3608
(313) 806-3500
(313) 359-1573
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007212
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950H25358
BC/BS OF MI
MI
Enumeration date
07/23/2006
Last updated
08/22/2020
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