Organization
REID CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES REID D.C (CHIROPRACTOR)
(248) 828-8300
Entity
Organization
Contact information
Practice address
5877 LIVERNOIS RD, SUITE 104, TROY, MI 48098-3100
(248) 828-8300
(248) 828-9460
Mailing address
5877 LIVERNOIS RD, SUITE 104, TROY, MI 48098-3100
(248) 828-8300
(248) 828-9460
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR004874
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F35222
BLUE CROSS
MI
Enumeration date
09/12/2012
Last updated
09/12/2012
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