Individual
DR. DEAN RICHARD TUTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
18600 FLORENCE ST, SUITE B5, ROSEVILLE, MI 48066-6600
(586) 298-6169
(586) 298-6154
Mailing address
18600 FLORENCE AVE., SUITE B5, ROSEVILLE, MI 48066-0066
(586) 298-6169
(586) 298-6154
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DT002687
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950E051010
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/31/2006
Last updated
07/30/2010
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