Individual
DR. JASON AARON STANCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
30325 GRATIOT AVE, ROSEVILLE, MI 48066-1714
(586) 774-6301
(586) 774-6350
Mailing address
30325 GRATIOT AVE, ROSEVILLE, MI 48066-1714
(586) 774-6301
(586) 774-6350
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2301009010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E00187
CHIROPRACTIC
MI
Enumeration date
03/05/2007
Last updated
07/08/2007
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