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Individual

SCOTT ROBERT SEMLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
5353 GRAND HAVEN RD, SUITE A, NORTON SHORES, MI 49441
(231) 798-9355
(231) 799-1777
Mailing address
5353 GRAND HAVEN RD, SUITE A, NORTON SHORES, MI 49441
(231) 798-9355
(231) 799-1777

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007666
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4653981
MI
01
950F111190
BCBS
Enumeration date
11/16/2006
Last updated
08/30/2012
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