Organization
AAA SWAN CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY R CIOLEK D.C. (OWNER)
(586) 978-1100
Entity
Organization
Contact information
Practice address
40580 VAN DYKE AVE, STE. A, STERLING HTS, MI 48313-3747
(586) 978-1100
Mailing address
40580 VAN DYKE AVE, STE. A, STERLING HTS, MI 48313-3747
(586) 978-1100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002992
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E02486
BCBSM
MI
Enumeration date
10/05/2011
Last updated
10/05/2011
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