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Organization

GREAT LAKES SCOLIOSIS CENTER, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACK ALONZO MOSES JR. D.C. (OWNER)
(586) 365-8988
Entity
Organization

Contact information

Practice address
51210 ROMEO PLANK RD, MACOMB, MI 48042-4129
(586) 365-8988
Mailing address
51210 ROMEO PLANK RD, MACOMB, MI 48042-4129
(586) 365-8988

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008704
MI

Other

Enumeration date
07/09/2009
Last updated
09/09/2011
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