Organization
KOTILA CHIROPRACTIC LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY J KOTILA DC (PRESIDENT)
(248) 642-4550
Entity
Organization
Contact information
Practice address
30400 TELEGRAPH RD STE 116, BINGHAM FARMS, MI 48025-4538
(248) 642-4550
(248) 642-8187
Mailing address
30400 TELEGRAPH RD STE 116, BINGHAM FARMS, MI 48025-4538
(248) 642-4550
(248) 642-8187
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002841
MI
Other
Enumeration date
07/25/2006
Last updated
08/22/2020
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