Individual
NATHAN JOHN BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
18720 MACK AVE STE 120, GROSSE PT FRM, MI 48236-2957
(313) 886-8030
(313) 886-4350
Mailing address
18720 MACK AVE STE 120, GROSSE POINTE FARMS, MI 48236-2957
(313) 886-8030
(313) 886-4350
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301401249
MI
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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