Organization
MALTER CHIROPRACTIC CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY M MALTER D.C. (OWNER)
(586) 254-3303
Entity
Organization
Contact information
Practice address
45280 CASS AVE, UTICA, MI 48317-5600
(586) 254-3303
(586) 254-1121
Mailing address
45280 CASS AVE, UTICA, MI 48317-5600
(586) 254-3303
(586) 254-1121
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005931
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95 0E024980
BCBS
MI
01
—
95 0E052880
BCBS
MI
Enumeration date
12/05/2006
Last updated
04/28/2009
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