Individual
DR. JUSTIN ISSAM JWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5378 W DOHERTY ST, WEST BLOOMFIELD, MI 48323-2708
(248) 885-1581
Mailing address
5378 W DOHERTY ST, WEST BLOOMFIELD, MI 48323-2708
(248) 885-1581
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010442
MI
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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