Organization
LIVONIA BACK & NECK PAIN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BRACE D.C. (OWNER)
(734) 591-0404
Entity
Organization
Contact information
Practice address
36016 5 MILE RD, LIVONIA, MI 48154-1918
(734) 591-0404
(734) 591-1534
Mailing address
36016 5 MILE RD, LIVONIA, MI 48154-1918
(734) 591-0404
(734) 591-1534
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
T97310
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JB003044
LICENSE NUMBER
MI
Enumeration date
08/24/2006
Last updated
08/22/2020
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