Individual
DR. JOHN ANTHONY PREVOST III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1016 N SAGINAW ST, HOLLY, MI 48442-1379
(248) 328-9800
Mailing address
2462 GOLDEN SHORE DR, FENTON, MI 48430-1051
(810) 247-2551
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301401273
MI
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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