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Individual

DR. SHAWN JONATHAN WRUBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
811 LIVERNOIS ST, FERNDALE, MI 48220-2308
(248) 439-1017
(248) 439-1017
Mailing address
811 LIVERNOIS ST, FERNDALE, MI 48220-2308
(248) 439-1017
(248) 439-1017

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009873
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2301009873
STATE CHIROPRACTIC LICENSE
MI
Enumeration date
05/09/2012
Last updated
07/31/2020
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