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Organization

MCLEOD SHELBY CHIROPRACTIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOUGLAS A MCLEOD DC (OWNER)
(586) 992-8888
Entity
Organization

Contact information

Practice address
53505 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316-1861
(586) 992-8888
(586) 992-8889
Mailing address
53505 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316-1861
(586) 992-8888
(586) 992-8889

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005579
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
950E006390
BCBSM
MI
Enumeration date
10/12/2009
Last updated
12/09/2010
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