Organization
KOSMYNA CHIROPRACTIC LIFE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS STEVEN KOSMYNA DC (OWNER/PHYSICIAN)
(517) 456-7411
Entity
Organization
Contact information
Practice address
301 W MICHIGAN AVE, CLINTON, MI 49236-9502
(517) 456-7411
(517) 456-7896
Mailing address
301 W MICHIGAN AVE, CLINTON, MI 49236-9502
(517) 456-7411
(517) 456-7896
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002768
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D60164
BCBSM
MI
Enumeration date
09/02/2014
Last updated
10/22/2014
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