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Organization

ANTONIOTTI CHIROPRACTIC, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID SCOTT ANTONIOTTI D.C. (OWNER)
(269) 344-5551
Entity
Organization

Contact information

Practice address
1820 S WESTNEDGE AVE, SUITE 1, KALAMAZOO, MI 49008-1998
(269) 344-5551
(269) 344-0094
Mailing address
1820 S WESTNEDGE AVE, SUITE 1, KALAMAZOO, MI 49008-1998
(269) 344-5551
(269) 344-0094

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002675
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
950C95025
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
P88849
BLUE CARE NETWORK
MI
Enumeration date
02/08/2011
Last updated
02/08/2011
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