Individual
DR. DONALD GEORGE PETHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
23610 VAN BORN RD, DEARBORN HEIGHTS, MI 48125-2356
(313) 291-1060
(313) 291-1089
Mailing address
23610 VAN BORN RD, DEARBORN HEIGHTS, MI 48125-2356
(313) 291-1060
(313) 291-1089
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008389
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H25427
BCBS MI
MI
01
—
140344
PREFERRED CHIOCES
MI
05
—
144298355
—
MI
01
—
950H25427
BCBS MI
MI
01
—
P112080
BLUECARE NETWORK
MI
01
—
U84613
HAP
MI
Enumeration date
05/08/2006
Last updated
12/15/2008
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