Organization
SHARON K RANDALL DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON K RANDALL DC PC (DOCTOR OWNER)
(810) 744-4251
Entity
Organization
Contact information
Practice address
4085 S CENTER RD, BURTON, MI 48519
(810) 744-4251
(810) 744-1039
Mailing address
4085 S CENTER RD, BURTON, MI 48519
(810) 744-4251
(810) 744-1039
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006867
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050461700
HEALTH PLUS
—
01
—
0B55193
BCBS
—
05
—
2991774
—
MI
01
—
P00098330
PALMETTO RAILROAD
—
Enumeration date
08/17/2006
Last updated
08/22/2020
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