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Individual

DR. JOHN ERIC GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
21701 W 11 MILE RD, STE# 12, SOUTHFIELD, MI 48076-3713
(248) 809-6821
Mailing address
21701 W 11 MILE RD, STE# 12, SOUTHFIELD, MI 48076-3713
(248) 809-6821

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009722
MI

Other

Enumeration date
09/01/2010
Last updated
08/01/2013
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