Organization
PURDY CHIROPRACTIC, P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MITCHEL PURDY D.C. (OWNER)
(586) 465-7900
Entity
Organization
Contact information
Practice address
51 S.B. GRATIOT AVE., MOUNT CLEMENS, MI 48043-5640
(586) 465-7900
(586) 465-2411
Mailing address
51 S.B. GRATIOT AVE, MOUNT CLEMENS, MI 48043-5640
(586) 465-7900
(586) 465-2411
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004596
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102483
GREAT LAKES
MI
05
—
4805662
—
MI
01
—
CH500066
MCARE
MI
Enumeration date
12/05/2006
Last updated
09/19/2007
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