Organization
ADVANCE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA HAFEZI (OWNER)
(313) 436-0041
Entity
Organization
Contact information
Practice address
25507 ECORSE RD, TAYLOR, MI 48180-1555
(313) 436-0041
Mailing address
25507 ECORSE RD, TAYLOR, MI 48180-1555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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