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Organization

FAIRBANKS FAMILY CHIROPRACTIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARGO IRENE FAIRBANKS D.C. (OWNER)
(906) 428-1679
Entity
Organization

Contact information

Practice address
510 S 9TH ST, GLADSTONE, MI 49837-1613
(906) 428-1679
(906) 428-1679
Mailing address
510 S 9TH ST, GLADSTONE, MI 49837-1613
(906) 428-1679
(906) 428-1679

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
950B11014
BCBS GROUP #
MI
Enumeration date
01/08/2007
Last updated
04/05/2011
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