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Individual

DR. ADAM JAMES WOODBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
128 W WALLED LAKE DR, WALLED LAKE, MI 48390-3455
(248) 926-1829
(248) 926-1837
Mailing address
128 W WALLED LAKE DR, WALLED LAKE, MI 48390-3455
(248) 926-1829
(248) 926-1837

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009136
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
950F367640
BCBSM
MI
Enumeration date
02/08/2006
Last updated
02/14/2012
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