Organization
DYNAMIC CHIROPRACTIC REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD VINCENT BURR JR. D.C. (OWNER)
(248) 219-4433
Entity
Organization
Contact information
Practice address
8768 N TERRITORIAL RD, PLYMOUTH, MI 48170-5022
(734) 335-0372
Mailing address
730 PENNIMAN AVE, #206, PLYMOUTH, MI 48170-3770
(248) 219-4433
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2301010208
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295138501
INDIVIDUAL NPI
MI
Enumeration date
11/26/2014
Last updated
11/26/2014
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