Organization
MARC H BEALS DC PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC HARRIS BEALS DC (PRESIDENT)
(586) 977-3200
Entity
Organization
Contact information
Practice address
33142 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-5914
(586) 977-3200
Mailing address
33142 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-5914
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004808
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0 E 050710
BLUE CROSS BLUE SHIELD
MI
05
—
1700925
—
MI
01
—
T33332
MEDICARE PROVIDER # 0E05071
MI
Enumeration date
01/04/2012
Last updated
03/07/2012
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