Individual
MR. RICHARD ANTHONY CICALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1000 W UNIVERSITY DR, SUITE 202, ROCHESTER, MI 48307-1873
(248) 652-7225
(248) 652-7292
Mailing address
1000 W UNIVERSITY DR, SUITE 202, ROCHESTER, MI 48307-1873
(248) 652-7225
(248) 652-7292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009314
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-0-F3-5689-0
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
07/10/2007
Last updated
07/25/2008
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