Organization
CLEMENTS CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK M CLEMENTS D.C. (PRESIDENT)
(586) 781-4314
Entity
Organization
Contact information
Practice address
51060 HAYES RD, MACOMB, MI 48042-4057
(586) 781-4314
(586) 781-4452
Mailing address
51060 HAYES RD, MACOMB, MI 48042-4057
(586) 781-4314
(586) 781-4452
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007332
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0170734
TOTAL HEALTH CARE
MI
01
—
950E052630
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/17/2006
Last updated
12/29/2010
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