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Organization

MATOSHKO CHIROPRACTIC CLINIC LLC

Active
Other names
Matoshko Chiropractic Clinic LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LORI A MATOSHKO (PRACTICE MANAGER)
(586) 795-8989
Entity
Organization

Contact information

Practice address
5754 15 MILE RD, STERLING HEIGHTS, MI 48310-5777
(586) 795-8989
Mailing address
5754 15 MILE RD, STERLING HEIGHTS, MI 48310-5777
(586) 795-8989
(586) 999-5989

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1689781023
NPI
MI
05
2094976
MI
Enumeration date
10/11/2021
Last updated
05/27/2022
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