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Individual

BETH A. PRILLWITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
712 COMINGS AVE, SAINT JOSEPH, MI 49085-1943
(269) 983-8989
(269) 983-1875
Mailing address
712 COMINGS AVE, P.O. BOX 52, SAINT JOSEPH, MI 49085-1943
(269) 983-8989
(269) 983-1875

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006734
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
141903516
MI
01
950A15012
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/28/2007
Last updated
06/08/2023
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