Individual
DR. BRIAN J CANADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12516 10 MILE RD, SOUTH LYON, MI 48178-8171
(248) 437-7991
(248) 437-6327
Mailing address
9851 ATWOOD DR, SOUTH LYON, MI 48178-9111
(248) 437-7355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008293
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P34670
MEDICARE PROVIDER #
MI
Enumeration date
07/31/2006
Last updated
03/12/2008
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