Organization
LOUZON CHIROPRACTIC HEALTH CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL T LOUZON DC (OWNER)
(313) 291-4646
Entity
Organization
Contact information
Practice address
21145 ECORSE RD, TAYLOR, MI 48180-1836
(313) 291-4646
(313) 291-0019
Mailing address
21145 ECORSE RD, TAYLOR, MI 48180-1836
(313) 291-4646
(313) 291-0019
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005069
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950H25128
BLUE CROSS OF MI
—
01
—
RR13810
RAILROAD MEDICARE
—
Enumeration date
12/08/2010
Last updated
12/08/2010
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