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Organization

TIMOTHY D. STUDT, D.C., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY D. STUDT DC (PRESIDENT)
(989) 681-2533
Entity
Organization

Contact information

Practice address
1883 W MONROE RD, SAINT LOUIS, MI 48880-9789
(989) 681-2533
(989) 681-2533
Mailing address
1883 W MONROE RD, SAINT LOUIS, MI 48880-9789
(989) 681-2533
(989) 681-2533

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
TS005329
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
144269362
MI
01
950B910390
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/27/2005
Last updated
10/01/2012
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