Organization
PRO-ACTIVE CHIROPRACTIC & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL COWAN (OFFICE MANAGER)
(248) 625-7600
Entity
Organization
Contact information
Practice address
6507 TOWN CENTER DR STE F, CLARKSTON, MI 48346-4826
(248) 625-7600
(616) 288-7901
Mailing address
6507 TOWN CENTER DR STE F, CLARKSTON, MI 48346-4826
(248) 625-7600
(248) 625-2772
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902155096
NPI 1
MI
01
—
2301009883
LICENSE NUMBER
MI
Enumeration date
10/31/2018
Last updated
08/09/2022
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