Individual
MELISSA SOULLIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
26751 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076-4532
(248) 552-0510
(248) 569-7741
Mailing address
26421 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076-4528
(248) 552-0510
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008039
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F336640
BCBS
MI
Enumeration date
06/25/2006
Last updated
11/11/2016
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