Individual
BRENT M MUSOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
305 E HURON AVE STE 9, BAD AXE, MI 48413-1448
(989) 269-7300
(989) 269-7303
Mailing address
3159 SHORE DR, PORT AUSTIN, MI 48467-9726
(989) 975-0062
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950C21039
BCBS
MI
Enumeration date
10/02/2006
Last updated
02/03/2020
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