Organization
MCCANSE CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R MCCANSE DC (OWNER)
(269) 423-7034
Entity
Organization
Contact information
Practice address
45648 M 51, DECATUR, MI 49045-9038
(269) 423-7034
(269) 423-8817
Mailing address
45648 M 51, DECATUR, MI 49045-9038
(269) 423-7034
(269) 423-8817
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002769
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040573
—
MI
Enumeration date
12/18/2014
Last updated
12/18/2014
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