Organization
4TH STREET CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN VALLECORSE DC (OWNER)
(248) 841-1785
Entity
Organization
Contact information
Practice address
117 W 4TH ST, ROCHESTER, MI 48307-2025
(248) 841-1785
Mailing address
117 W 4TH ST, ROCHESTER, MI 48307-2025
(248) 841-1785
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010018
MI
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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