Organization
RICHARD BUTYKOS DC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BUTYKOS D.C. (PRESIDENT)
(313) 278-4420
Entity
Organization
Contact information
Practice address
19200 VAN BORN RD, DEARBORN HTS, MI 48125-3203
(313) 278-4420
(313) 563-1300
Mailing address
19200 VAN BORN RD, DEARBORN HTS, MI 48125-3203
(313) 278-4420
(313) 563-1300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2815
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95OH251240
BCBS
MI
01
—
DR820008
MCARE
MI
Enumeration date
12/14/2006
Last updated
08/22/2020
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