Organization
DISCOVER CHIROPRACTIC CLINIC,PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER MARK PASSALACQUA D.C., L.C.P.,DPHCA (SOLE PROPRIETOR,OWNER)
(248) 879-5540
Entity
Organization
Contact information
Practice address
5909 JOHN R RD, TROY, MI 48085-3867
(248) 879-5540
Mailing address
5909 JOHN R RD, TROY, MI 48085-3867
(248) 879-5540
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005374
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F35270
BLUECROSSBLUESHIELD
MI
Enumeration date
07/21/2008
Last updated
07/21/2008
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