Organization
LAKEPOINTE FAMILY CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA SY MARUSZEWSKI D.C. (CHIROPRACTOR)
(248) 924-2547
Entity
Organization
Contact information
Practice address
42000 6 MILE RD, STE 230, NORTHVILLE, MI 48168-4336
(248) 924-2547
(248) 924-2513
Mailing address
42000 6 MILE RD, STE 230, NORTHVILLE, MI 48168-4336
(248) 924-2547
(248) 924-2513
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
TM008126
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H25864
BC GRP
MI
01
—
0N75020
MEDICARE PROVIDER ID NUMBER
MI
01
—
950H210500
BCBSM PROVIDER ID NUMBER
MI
Enumeration date
01/09/2010
Last updated
02/07/2013
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