Organization
ADRIAN S GAVIGLIO DC PC
Active
Parent organization
ADRIAN S GAVIGLIO DC PC
Other names
Waterford Life Chiropractic Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADRIAN S GAVIGLIO DC PC
Authorized official
DR. ADRIAN STEVEN GAVIGLIO DOCTOR OF CHIROPRACT (PRESIDENT OWNER)
(248) 681-7655
Entity
Organization
Contact information
Practice address
3801 ELIZABETH LK RD, WATERFORD, MI 48328-3017
(248) 681-7655
(248) 681-4088
Mailing address
3801 ELIZABETH LK RD, WATERFORD, MI 48328-3017
(248) 681-7655
(248) 681-4088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098168
—
MI
Enumeration date
06/12/2008
Last updated
09/04/2008
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