Organization
CIVELLO SPINAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM B CIVELLO DC (OWNER)
(248) 615-1533
Entity
Organization
Contact information
Practice address
34441 8 MILE RD, SUITE 116, LIVONIA, MI 48152-4013
(248) 615-1533
(248) 615-9068
Mailing address
34441 8 MILE RD, SUITE 116, LIVONIA, MI 48152-4013
(248) 615-1533
(248) 615-9068
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950H223640
BCBS
MI
Enumeration date
05/11/2007
Last updated
03/17/2011
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