Organization
FREDRICK FAMILY CHIROPRACTIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWSON EDWARD FREDRICK D.C (OWNER)
(906) 233-9390
Entity
Organization
Contact information
Practice address
2601 1ST AVE N, SUITE B, ESCANABA, MI 49829-1304
(906) 233-9390
Mailing address
2601 1ST AVE N, SUITE B, ESCANABA, MI 49829-1304
(906) 233-9390
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008214
MI
111N00000X
Chiropractor
2301009241
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4247060
—
MI
01
—
950B110430
BLUE CROSS BLUE SHEILD
MI
01
—
950B150130
BLUE CROSS BLUE SHEILD
MI
Enumeration date
10/16/2007
Last updated
02/06/2013
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