Organization
GANTOS CHIROPRACTIC CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOHN GANTOS D.C. (OWNER)
(810) 733-5211
Entity
Organization
Contact information
Practice address
6045 CORUNNA RD, SUITE A, FLINT, MI 48532-5302
(810) 733-5211
(810) 733-5849
Mailing address
6045 CORUNNA RD, SUITE A, FLINT, MI 48532-5302
(810) 733-5211
(810) 733-5849
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DG005406
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B51668
BCBSM
—
05
—
2627098
—
MI
Enumeration date
10/02/2008
Last updated
10/02/2008
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