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Individual

DR. DAVID MITCHEL PURDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
51 SB GRATIOT AVE, MOUNT CLEMENS, MI 48043-5640
(586) 465-7900
(586) 465-2411
Mailing address
51 SB GRATIOT AVE, MOUNT CLEMENS, MI 48043-5640
(586) 465-7900
(586) 465-2411

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004596
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102483
GREAT LAKES
MI
01
4343188
AETNA
MI
05
4805662
MI
01
606169
ACN
MI
01
CH500066
MCARE
MI
Enumeration date
06/05/2006
Last updated
10/05/2007
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