Individual
DR. MARC STUART TEREBELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
30555 SOUTHFIELD RD, STE 155, SOUTHFIELD, MI 48076-7750
(248) 593-8282
(248) 593-8284
Mailing address
PO BOX 37, CHARLOTTE, MI 48813-0037
(517) 541-3395
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004602
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F351800
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/27/2006
Last updated
01/16/2020
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