Organization
PRODIGY SPINAL REHABILIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMMER FAKHOURI DC (CHIROPRACTOR)
(313) 846-9100
Entity
Organization
Contact information
Practice address
6309 SCHAEFER RD, DEARBORN, MI 48126-2210
(313) 846-9100
(313) 846-9104
Mailing address
6309 SCHAEFER RD, DEARBORN, MI 48126-2210
(313) 846-9100
(313) 846-9104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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