Individual
DR. MICHAEL IAN DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
400 MAIN ST, SUITE 2, NORWAY, MI 49870-1270
(906) 563-5400
Mailing address
400 MAIN ST, SUITE 2, NORWAY, MI 49870-1270
(906) 563-5400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008712
MI
111N00000X
Chiropractor
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932231
BCBS PROVIDER NUMBER
IL
Enumeration date
11/14/2006
Last updated
12/06/2007
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