Individual
MR. STEPHEN SCOTT TENNISWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4010 PAGE AVE # 104, MICHIGAN CENTER, MI 49254
(517) 764-5305
(517) 647-5417
Mailing address
4010 PAGE AVE # 104, MICHIGAN CENTER, MI 49254-1026
(517) 764-5305
(517) 647-5417
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010392
MI
Other
Enumeration date
12/27/2006
Last updated
09/05/2018
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