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Individual

DR. CAROL L WOOD-ZANCHETTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
26000 HARPER AVENUE SUITE A, SAINT CLAIR SHORES, MI 48081
(586) 774-7920
(586) 774-8336
Mailing address
26000 HARPER AVENUE SUITE A, SAINT CLAIR SHORES, MI 48081
(586) 774-7920
(586) 774-8336

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005960
MI
111N00000X
Chiropractor
CW005960
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103477
GREAT LAKES HEALTH PLAN
MI
05
4505020
MI
01
950E010690
BLUE CROSS
MI
01
CW005960
WORK COMP
MA
01
CW005960
COMMERCIAL
MI
Enumeration date
11/28/2006
Last updated
06/22/2016
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