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Individual

DR. THEODORE JAMES PAQUIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
144 S INDUSTRIAL DR., SALINE, MI 48176
(734) 944-8484
(734) 944-8686
Mailing address
144 S INDUSTRIAL DR, SALINE, MI 48176-9493
(734) 944-8484

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
TP007301
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95-0H11245-0
BLUE CROSS BLUE SHIELD ID
MI
01
N90410003
COMMON PROVIDER CODE
MI
01
P104674
BLUE CARE NETWORK #
MI
01
TP007301
STATE LICENCE NUMBER
MI
Enumeration date
01/18/2007
Last updated
08/16/2020
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