Organization
COOK CHIROPRACTIC CLINIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM STACEY COOK DC (CLINIC DIRECTOR)
(586) 731-7730
Entity
Organization
Contact information
Practice address
51540 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316-4446
(586) 731-7730
(586) 731-1970
Mailing address
51540 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316-4446
(586) 731-7730
(586) 731-1970
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
WC004717
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1877247
—
MI
Enumeration date
06/13/2006
Last updated
03/30/2012
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