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Individual

MR. HOWARD BERNARD SHORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
13560 NORTHLINE RD, SOUTHGATE, MI 48195
(734) 284-4000
(734) 285-0219
Mailing address
13560 NORTHLINE RD, SOUTHGATE, MI 48195
(734) 284-4000
(734) 285-0219

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
HS004489
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2116300
MI
Enumeration date
03/27/2006
Last updated
09/30/2011
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