Individual
DR. MICHAEL THEOPHILUS MACIJESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1155 NEWPORT AVE, PAWTUCKET, RI 02861-2107
(401) 725-2112
(401) 725-0066
Mailing address
160 TAUNTON AVE, EAST PROVIDENCE, RI 02914-4531
(401) 435-2002
(401) 435-3553
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DCP00649
RI
Other
Enumeration date
11/13/2014
Last updated
04/23/2018
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