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Individual

DR. GARY DALE ZELONY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CHIROPRACTOR

Contact information

Practice address
3800 N LILLEY RD, CANTON, MI 48187-3756
(734) 981-0500
Mailing address
3800 N LILLEY RD, CANTON, MI 48187-3756
(734) 981-0500

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002901
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1718456
MI
Enumeration date
06/25/2007
Last updated
07/09/2007
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