Organization
CHERRYLAND CHIROPRACTIC CENTRE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD JOHN SEKOL DC (CHIROPRACTOR)
(231) 941-8650
Entity
Organization
Contact information
Practice address
1209 E 8TH ST, TRAVERSE CITY, MI 49686-2938
(231) 941-8650
(231) 941-8652
Mailing address
1209 E 8TH ST, TRAVERSE CITY, MI 49686-2938
(231) 941-8650
(231) 941-8652
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004541
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B811650
BLUE CROSS
MI
01
—
0B812230
BLUE CROSS
—
05
—
2123743
—
MI
Enumeration date
08/31/2006
Last updated
03/05/2008
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