Individual
ANTOINETTE KOTCHOUNIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
604 S MAIN ST, #170, LAPEER, MI 48446-2463
(810) 793-7376
(810) 793-7647
Mailing address
6229 WILLITS RD, FOSTORIA, MI 48435-9420
(810) 793-7376
(810) 793-7647
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AK005901
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D41027
BCBSM PIN
MI
05
—
3186265
—
MI
Enumeration date
12/01/2006
Last updated
12/09/2009
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