Organization
COUSINEAU CHIROPRACTIC CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE M COUSINEAU DC (PRESIDENT)
(989) 732-2225
Entity
Organization
Contact information
Practice address
997 N CENTER AVE, GAYLORD, MI 49735
(989) 732-2225
(989) 731-6776
Mailing address
997 N CENTER AVE, GAYLORD, MI 49735
(989) 732-2225
(989) 731-6776
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008123
MI
111N00000X
Chiropractor
2301008758
MI
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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