Organization
GENESIS CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN RICHARD KAPUT D.C (CHIROPRACTOR)
(586) 604-3253
Entity
Organization
Contact information
Practice address
21880 23 MILE RD, MACOMB, MI 48042-4422
(586) 604-3253
Mailing address
21880 23 MILE RD, MACOMB, MI 48042-4422
(586) 604-3253
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009884
MI
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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