Individual
DR. DENISE SUE COLESTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
802 S MAIN ST, EATON RAPIDS, MI 48827-1730
(517) 663-8825
(517) 663-8805
Mailing address
802 S MAIN ST, EATON RAPIDS, MI 48827-1730
(517) 663-8825
(517) 663-8805
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008414
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950B350460
BCBSM PROVIDER ID#
MI
Enumeration date
03/27/2007
Last updated
10/03/2013
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