Organization
FR VAN DYKE
Active
Other names
888 CRASH SOS
Organization subpart
No
Provider details
NPI number
Authorized official
ADNAN MOHAMED (MANAGER)
(586) 770-8523
Entity
Organization
Contact information
Practice address
24604 VAN DYKE AVE, CENTER LINE, MI 48015-1321
(586) 486-5547
(586) 486-5498
Mailing address
24604 VAN DYKE AVE, CENTER LINE, MI 48015-1321
(586) 486-5547
(586) 486-5498
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2301009974
MI
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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