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Individual

DR. JEFFREY THOMAS GISCHIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
100 N ROLAND ST, MC BAIN, MI 49657-9683
(231) 825-8143
(231) 825-0356
Mailing address
100 N ROLAND ST, PO BOX 207, MCBAIN, MI 49657
(231) 825-8143
(231) 825-0356

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
JG006101
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104181
PREFERRED CHOICES
MI
05
143032269
MI
01
950E710030
BCBS
MI
01
P00040617
PALMETTO RAILROAD
GA
01
P25758F
BCN-SE
MI
Enumeration date
02/23/2006
Last updated
09/18/2012
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