Organization
ROSS CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLACE CHARLES ROSS DC (PRESIDENT)
(248) 321-5405
Entity
Organization
Contact information
Practice address
208 N MAIN ST STE B, DAVISON, MI 48423-1432
(248) 321-5405
(810) 797-3615
Mailing address
208 N MAIN ST, DAVISON, MI 48423-1432
(248) 321-5405
(810) 797-3615
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004832
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950E034930
BCBSM
MI
Enumeration date
07/13/2007
Last updated
10/19/2021
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