Individual
DR. MARC ANDREW LUKOSAVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
48881 HAYES RD, SHELBY TOWNSHIP, MI 48315-4405
(586) 532-6373
(586) 532-6372
Mailing address
48881 HAYES RD, SHELBY TOWNSHIP, MI 48315-4405
(586) 532-6373
(586) 532-6372
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008617
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20-4336714
—
MI
Enumeration date
07/23/2006
Last updated
03/27/2013
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