Organization
HAZEL PARK CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK PAUL PUUMALA D.C. (PRESIDENT)
(248) 543-1660
Entity
Organization
Contact information
Practice address
24503 JOHN R RD, HAZEL PARK, MI 48030-1141
(248) 543-1660
Mailing address
24503 JOHN R RD, HAZEL PARK, MI 48030-1141
(248) 543-1660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006632
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OF35258
BLUE CROSS BLUE SHIELD OF
MI
Enumeration date
07/15/2006
Last updated
08/22/2020
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