Organization
SOUTHFIELD ALTERNATIVE CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZAR BERKOVICH (OWNER)
(248) 258-6842
Entity
Organization
Contact information
Practice address
30500 NORTHWESTERN HWY STE 316B, FARMINGTON HILLS, MI 48334-3159
(248) 258-6842
Mailing address
30500 NORTHWESTERN HWY STE 316B, FARMINGTON HILLS, MI 48334-3159
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
LB008193
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4237430
—
MI
Enumeration date
08/03/2006
Last updated
08/22/2020
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