Individual
NICOLE R COUSINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
14550 KING RD, RIVERVIEW, MI 48193-7963
(734) 479-1880
(734) 479-4810
Mailing address
14550 KING RD, RIVERVIEW, MI 48193-7963
(734) 479-1880
(734) 479-4810
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
NC008045
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30000001T2G0EAK
WRITE PAD OCN CERTIFICATION
MI
Enumeration date
07/12/2006
Last updated
09/13/2012
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