Organization
MAIN STREET FAMILY CHIROPRACTIC CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH STANLEY STOPA JR. DC (PRESIDENT)
(248) 735-9800
Entity
Organization
Contact information
Practice address
109 W MAIN STREET, NORTHVILLE, MI 48167
(248) 735-9800
(248) 735-9801
Mailing address
109 W MAIN STREET, NORTHVILLE, MI 48167
(248) 735-9800
(248) 735-9801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007768
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950H253850
BCBS
MI
Enumeration date
10/20/2006
Last updated
02/06/2013
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