Organization
OAKLAND SPORTS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA CRYSTAL MOSURE-JUDGE DC (OWNER)
(248) 783-7169
Entity
Organization
Contact information
Practice address
425 N PARK BLVD, SUITE 200, LAKE ORION, MI 48362-3189
(248) 783-7169
Mailing address
425 N PARK BLVD, SUITE 200, LAKE ORION, MI 48362-3189
(248) 783-7169
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2301009849
MI
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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