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Organization

HOLISTIC CHIROPRACTIC CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUBY JACOB THOMAS D.C. (PRESIDENT)
(248) 912-0075
Entity
Organization

Contact information

Practice address
670 GRISWOLD ST STE 200, NORTHVILLE, MI 48167-2687
(248) 912-0075
Mailing address
18885 STONEWATER BLVD, NORTHVILLE, MI 48168-8557
(248) 912-0075

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008561
MI

Other

Enumeration date
10/09/2006
Last updated
04/30/2021
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