Individual
DR. THEA LEWIS CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
424 S. MAIN ST. #1, NORTHVILLE, MI 48167
(313) 549-7733
Mailing address
424 S. MAIN ST. #1, NORTHVILLE, MI 48167
(313) 549-7733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007082
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OH25345
BLUE CROSS OF MI
MI
Enumeration date
02/06/2007
Last updated
11/21/2022
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