Organization
DYNAMIC LIFE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J JUDGE D.C. (CLINIC DIRECTOR)
(248) 885-3866
Entity
Organization
Contact information
Practice address
725 S ADAMS RD, SUITE 198, BIRMINGHAM, MI 48009-6902
(248) 885-3866
Mailing address
1513 BEAUFIELD ST, FERNDALE, MI 48220-1612
(248) 885-3866
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009205
MI
Other
Enumeration date
12/30/2007
Last updated
12/30/2007
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