Organization
DYNAMIC CHIROPRACTIC P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ONDRE JACQUES DC (PRESIDENT)
(248) 689-9413
Entity
Organization
Contact information
Practice address
555 BARCLAY CIR, SUITE 140, ROCHESTER HILLS, MI 48307-4555
(248) 299-6911
Mailing address
555 BARCLAY CIR, SUITE 140, ROCHESTER HILLS, MI 48307-4555
(248) 299-6911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
OJ008019
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F325190
BCBSM
MI
Enumeration date
01/24/2008
Last updated
11/05/2010
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