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Individual

DR. SANDRA MCCUISTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
46755 HAYES RD, SHELBY TOWNSHIP, MI 48315-5507
(586) 532-5433
(586) 566-5250
Mailing address
2128 HILLSDALE, SHELBY TOWNSHIP, MI 48316-1236
(248) 608-0993
(586) 566-5250

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007921
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SM007921
BLUE CROSS
MI
Enumeration date
06/30/2006
Last updated
07/08/2007
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