Organization
MCCORMACK CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS LELAND MCCORMACK D.C. (CHIROPRACTOR)
(734) 394-0771
Entity
Organization
Contact information
Practice address
1716 S LILLEY RD, CANTON, MI 48188-1108
(734) 394-0771
(734) 394-2528
Mailing address
1716 S LILLEY RD, CANTON, MI 48188-1108
(734) 394-0771
(734) 394-2528
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DM2301005936
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950H238870
BCBSM
MI
Enumeration date
12/03/2007
Last updated
06/26/2008
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