Organization
MODERN FAMILY CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN RAE GOMES D.C. (CHIROPRACTOR/OWNER)
(586) 580-1234
Entity
Organization
Contact information
Practice address
13919 19 MILE RD, STERLING HEIGHTS, MI 48313
(586) 580-1234
Mailing address
13919 19 MILE RD, STERLING HEIGHTS, MI 48313
(586) 580-1234
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010048
MI
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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