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Individual

DR. STANLEY ALLEN DOMBROSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
300 S STATE ST, SUITE 4, ZEELAND, MI 49464-1676
(616) 772-9255
(616) 772-9258
Mailing address
300 S STATE ST, SUITE 4, ZEELAND, MI 49464-1676
(616) 772-9255
(616) 772-9258

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SD008737
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
950G010840
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
01/31/2006
Last updated
08/27/2013
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