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Organization

NICHOLE C. ANDERSON DC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLE C ANDERSON DC (OWNER)
(313) 891-1800
Entity
Organization

Contact information

Practice address
3702 E 8 MILE RD, DETROIT, MI 48234-1007
(313) 891-1800
(313) 891-1802
Mailing address
3702 E 8 MILE RD, DETROIT, MI 48234-1007
(313) 891-1800
(313) 891-1802

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008912
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4801313
MI
01
95-OH225940
BCBS
MI
Enumeration date
08/18/2008
Last updated
01/10/2013
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