Individual
DR. BRIAN J NOCELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
33708 GRAND RIVER AVE, FARMINGTON, MI 48335-3428
(248) 442-9090
Mailing address
33708 GRAND RIVER AVE, FARMINGTON, MI 48335-3428
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005586
MI
111N00000X
Chiropractor
2698
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F35023
BCBSMI
MI
Enumeration date
03/13/2007
Last updated
07/08/2007
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