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Individual

DR. KEVIN PATRICK JONCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
14930 LAPLAISANCE RD, SUITE #116, MONROE, MI 48161-3880
(734) 242-4422
(734) 242-6774
Mailing address
14930 LAPLAISANCE RD, SUITE #116, MONROE, MI 48161-3880
(734) 242-4422
(734) 242-6774

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009044
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
KJ009044
BCBS- INDIVIDUAL
MI
Enumeration date
03/07/2007
Last updated
01/10/2014
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