Organization
MILLER CHIROPRACTIC LIFE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL DANA MILLER DC (OWNER/PRESIDENT)
(248) 348-3500
Entity
Organization
Contact information
Practice address
41074 7 MILE RD, SUITE A, NORTHVILLE, MI 48167-2669
(248) 348-3500
(248) 348-1066
Mailing address
41074 7 MILE RD, SUITE A, NORTHVILLE, MI 48167-2669
(248) 348-3500
(248) 348-1066
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2301004002
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Q25009
BLUE CROSS BLUE SHIELD MICHIGAN
—
Enumeration date
03/14/2011
Last updated
03/14/2011
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