Organization
SHORES CHIROPRACTIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J MIGLIAZZO DC (PRESIDENT)
(586) 775-6500
Entity
Organization
Contact information
Practice address
28404 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1607
(586) 775-6500
(586) 775-6591
Mailing address
28404 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1607
(586) 775-6500
(586) 775-6591
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007036
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366529422
TYPE 1 NPI BCBSM
MI
05
—
3267532
—
MI
Enumeration date
07/16/2008
Last updated
07/16/2008
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