Organization
BOUCHARD CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTY SUE BOUCHARD D.C. (OWNER/MANAGER)
(248) 767-2183
Entity
Organization
Contact information
Practice address
27322 23 MILE RD, SUITE 3, CHESTERFIELD, MI 48051-2032
(586) 231-2225
Mailing address
12839 CHIPPEWA DR, WARREN, MI 48088-1816
(248) 767-2183
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2324558
MI
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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