Organization
MICHIGAN SPECIFIC CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW ROBERTS D.C. (OWNER)
(248) 960-3599
Entity
Organization
Contact information
Practice address
3396 E WEST MAPLE RD, COMMERCE TWP, MI 48390-3807
(248) 960-3599
Mailing address
3396 E WEST MAPLE RD, COMMERCE TWP, MI 48390-3807
(248) 960-3599
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AR007188
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143545301736
PPOM
MI
05
—
4904080
—
MI
01
—
950F327350
BCBS INDIVIDUAL
MI
01
—
950F38878
BCBS GROUP NUMBER
MI
Enumeration date
05/04/2007
Last updated
01/20/2011
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