Organization
ROSE CITY CHIROPRACTIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDALL RAY PAULSON D.C. (PRESIDENT)
(989) 685-2631
Entity
Organization
Contact information
Practice address
3292 NORTH M33, ROSE CITY, MI 48654-0027
(989) 685-2631
(989) 685-3839
Mailing address
3292 NORTH M33, P O BOX 27, ROSE CITY, MI 48654-0027
(989) 685-2631
(989) 685-3839
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006841
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F550270
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
02/15/2007
Last updated
05/16/2008
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