Organization
J JAMES AGRUSA, P.C.
Active
Other names
Agrusa Chiroprcatic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME JAMES AGRUSA D.C. (OWNER)
(586) 263-5611
Entity
Organization
Contact information
Practice address
16651 21 MILE RD, MACOMB, MI 48044-2603
(586) 263-5611
(586) 263-5130
Mailing address
16651 21 MILE RD, MACOMB, MI 48044-2603
(586) 263-5611
(586) 263-5130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004758
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1771391
—
MI
Enumeration date
05/19/2008
Last updated
05/19/2008
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