Organization
THEODORE M. KOUKLES DC PC
Active
Organization
THEODORE M. KOUKLES DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE MICHAEL KOUKLES DC CCSP (PRESIDENT/CHIROPRACTOR)
(586) 876-3737
Entity
Organization
Contact information
Practice address
44777 HAYES RD STE A, STERLING HEIGHTS, MI 48313-1421
(586) 876-3737
Mailing address
44777 HAYES RD STE A, STERLING HEIGHTS, MI 48313-1421
(586) 876-3737
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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