Individual
DR. RICHARD JIMINES X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
15111 E 13 MILE RD, WARREN, MI 48088-3396
(586) 415-8068
(586) 415-8145
Mailing address
15111 E 13 MILE RD, WARREN, MI 48088-3396
(586) 415-8068
(586) 415-8145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301400093
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950E051410
BLUECROSS BLUESHIELD OF M
MI
Enumeration date
11/30/2005
Last updated
07/08/2007
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