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Individual

DR. RICHARD BUTYKOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
19200 VAN BORN RD, DEARBORN HEIGHTS, MI 48125-3203
(313) 278-4420
(313) 563-1300
Mailing address
19200 VAN BORN RD, DEARBORN HEIGHTS, MI 48125-3203
(313) 278-4420
(313) 563-1300

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2815
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
561401
SELECTCARE
MI
01
95OH251240
BLUECROSS BLUESCHIELD
MI
01
DR820008
M-CARE
MI
01
P83516
BLUE CARE NETWORK
MI
Enumeration date
09/18/2005
Last updated
07/08/2007
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