Individual
JOSEPH JASON COROSANITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1183 PONTIAC TRAIL, WALLED LAKE, MI 48390
(248) 624-6111
(248) 624-6129
Mailing address
1183 PONTIAC TRAIL, WALLED LAKE, MI 48390
(248) 624-6111
(248) 624-6129
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008549
MI
Other
Enumeration date
11/07/2006
Last updated
12/24/2007
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