Organization
CAUDELL CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN A CAUDELL DC (OWNER)
(313) 563-0530
Entity
Organization
Contact information
Practice address
5928 N TELEGRAPH RD, DEARBORN HEIGHTS, MI 48127-3221
(313) 563-0530
(313) 563-1430
Mailing address
5928 N TELEGRAPH RD, DEARBORN HEIGHTS, MI 48127-3221
(313) 563-0530
(313) 563-1430
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005226
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950H25164
BC
MI
Enumeration date
01/03/2007
Last updated
08/22/2020
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