Individual
MR. JERRY KEITH BUXMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5990 N WAYNE RD, WESTLAND, MI 48185-3170
(734) 722-3331
Mailing address
5990 N WAYNE RD, WESTLAND, MI 48185-3170
(734) 722-3331
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004954
MI
Other
Enumeration date
02/10/2006
Last updated
10/19/2011
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