Organization
MOSES FAMILY CHIROPRACTIC & WELLNESS CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK A MOSES JR. DC (OWNER)
(586) 323-5060
Entity
Organization
Contact information
Practice address
45941 HAYES RD, SHELBY TOWNSHIP, MI 48315-6217
(586) 323-5060
Mailing address
45941 HAYES RD, SHELBY TOWNSHIP, MI 48315-6217
(586) 323-5060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008704
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4792072
—
MI
Enumeration date
12/03/2013
Last updated
12/06/2013
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