Organization
KIRSHNER CHIROPRACTIC LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD S KIRSHNER D.C. (CHIROPRACTOR)
(734) 482-7700
Entity
Organization
Contact information
Practice address
1412 ECORSE RD, YPSILANTI, MI 48198-5985
(734) 482-7700
Mailing address
1412 ECORSE RD, YPSILANTI, MI 48198-5985
(734) 482-7700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004165
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H11278
BCBS PROVIDER #
MI
01
—
0H15061
WPS PROVIDER #
—
05
—
2117586 TYPE #14
—
MI
Enumeration date
03/25/2015
Last updated
03/25/2015
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