Organization
DEANDA CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN ANTHONY KERN DC (OWNER)
(810) 765-9700
Entity
Organization
Contact information
Practice address
2887 KRAFFT RD, SUITE 1400, PORT HURON, MI 48060
(810) 984-1994
(810) 984-3266
Mailing address
2887 KRAFFT RD, SUITE 1400, PORT HURON, MI 48060
(810) 984-1994
(810) 984-3266
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005582
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4776847
—
MI
01
—
950G410520
BCBS
MI
Enumeration date
05/28/2006
Last updated
02/18/2009
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