Organization
REVIVE FAMILY CHIROPRACTIC LLC
Active
Other names
Revive Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNEE MANGINO DC (OWNER)
(575) 207-5757
Entity
Organization
Contact information
Practice address
1203 N MILFORD RD, MILFORD, MI 48381-1033
(248) 714-6127
(248) 714-6128
Mailing address
306 S ALP ST, BAY CITY, MI 48706-4271
(575) 207-5757
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
12/07/2023
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