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Individual

DR. JEROME JAMES AGRUSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3775 NEWLAND CT, SHELBY TWP, MI 48316-1348
(586) 216-0661
Mailing address
3775 NEWLAND CT, SHELBY TWP, MI 48316-1348
(586) 216-0661

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004758
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1771391
MI
01
950E01772
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/19/2006
Last updated
04/11/2025
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