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Individual

DR. DAVID B. STACHOWICZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
896 E APPLE AVE, MUSKEGON, MI 49442-3738
(231) 773-4716
(231) 773-4716
Mailing address
896 E APPLE AVE, MUSKEGON, MI 49442-3738
(231) 773-4716
(231) 773-4716

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6771
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
950F150070
BLUE CROSS
MI
Enumeration date
05/08/2007
Last updated
10/03/2008
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