Individual
DR. GLENN A CAUDELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5928 N TELEGRAPH RD, DEARBORN HEIGHTS, MI 48127-3221
(313) 563-0530
(313) 563-1430
Mailing address
23452 HILL ST, DEARBORN HEIGHTS, MI 48127-2381
(313) 562-5742
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005226
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950H25164
BC
MI
Enumeration date
06/04/2006
Last updated
07/08/2007
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