Organization
RENAISSANCE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALED SAYED EL-GANAINY DC (OWNER)
(810) 715-7746
Entity
Organization
Contact information
Practice address
1501 S CENTER RD, BUILDING A, BURTON, MI 48509-1731
(810) 715-7746
(810) 715-7716
Mailing address
1501 S CENTER RD, BUILDING A, BURTON, MI 48509-1731
(810) 715-7746
(810) 715-7716
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306938105
BCN
MI
01
—
950B513520
BCBSM
—
Enumeration date
09/29/2006
Last updated
07/09/2009
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