Organization
ADVANCED CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA HAFEZI D.C. (CHIROPRACTIC)
(313) 420-9655
Entity
Organization
Contact information
Practice address
17600 W WARREN AVE, DETROIT, MI 48228-3509
(313) 420-9655
Mailing address
17600 W WARREN AVE, DETROIT, MI 48228-3509
(313) 420-9655
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2301007342
MI
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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