Organization
GREAT LAKES SPINE & REHAB CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J STANLEY DC (CHIROPRACTOR)
(734) 560-7300
Entity
Organization
Contact information
Practice address
14500 KING RD, RIVERVIEW, MI 48193-7957
(734) 560-7300
(734) 250-7454
Mailing address
14500 KING RD, RIVERVIEW, MI 48193-7957
(734) 560-7300
(734) 250-7454
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
RS008086
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4829904-14
—
MI
01
—
950H217760
BCBSM
MI
Enumeration date
06/15/2011
Last updated
12/29/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us