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Organization

FRATTINI CHIROPRACTIC SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CARLA MARGARET HOYLOCK (MANAGER)
(586) 777-6056
Entity
Organization

Contact information

Practice address
22701 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2007
(586) 777-6056
(586) 775-7246
Mailing address
22701 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2007
(586) 777-6056
(586) 775-7246

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
141979434
MI
01
95OEO51990
BCN
MI
01
OEO5199
BCBS
MI
01
TR077
PPOM
MI
Enumeration date
01/05/2011
Last updated
01/07/2011
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