Organization
MICHIGAN CHIROPRACTIC PAIN CENTERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAPHAEL CHUKWUGOZIE OKONKWOR DC (OWNER)
(248) 470-4477
Entity
Organization
Contact information
Practice address
21700 GREENFIELD RD, STE 257, OAK PARK, MI 48237-2581
(248) 470-4477
Mailing address
2021 RED MAPLE DR, TROY, MI 48098-2246
(248) 470-4477
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009312
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F34045
BCBSM
MI
Enumeration date
07/08/2010
Last updated
07/08/2010
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