Organization
TANNENBAUM CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GEORGE TANNENBAUM DC (OWNER CHIROPRACTOR)
(734) 929-0444
Entity
Organization
Contact information
Practice address
4059 STONE SCHOOL RD, ANN ARBOR, MI 48108
(734) 929-0444
(734) 929-0350
Mailing address
4059 STONE SCHOOL RD, ANN ARBOR, MI 48108
(734) 929-0444
(734) 929-0350
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008615
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141980
CARE CHOICES
—
05
—
4755140
—
MI
01
—
95OH112120
BLUE CROSS BLUE SHIELD
MI
01
—
NC011916
MCARE
—
01
—
OH11212
BLUECARE NETWORK
MI
Enumeration date
08/17/2006
Last updated
04/16/2008
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