Individual
DR. NICOLA IOSIF JAKSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
35040 HELZE LANE, MEMPHIS, MI 48041
(810) 392-7373
(810) 392-8331
Mailing address
BOX 41037, 35040 HELZE LANE, MEMPHIS, MI 48041
(810) 392-7373
(810) 392-8331
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
NJ008176
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4370233
—
MI
01
—
950E01704O
BLUE CROSS
MI
Enumeration date
07/26/2006
Last updated
06/13/2013
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