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Organization

CHIROPRACTIC & INTEGRATIVE HEALTH SPECIALISTS, P.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY EDWARD FANTICH D.C. (OWNER)
(248) 737-8066
Entity
Organization

Contact information

Practice address
5829 W MAPLE RD, SUITE 123, WEST BLOOMFIELD, MI 48322-2294
(248) 737-8066
Mailing address
5829 W MAPLE RD, SUITE 123, WEST BLOOMFIELD, MI 48322-2294
(248) 737-8066

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006930
MI

Other

Enumeration date
02/15/2013
Last updated
02/15/2013
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