Organization
CARUSO CHIROPRACTIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM CARUSO D.C. (PRESIDENT)
(248) 693-4800
Entity
Organization
Contact information
Practice address
25 S LAPEER ST, LAKE ORION, MI 48362-3167
(248) 693-4800
(248) 693-3539
Mailing address
25 S LAPEER ST, LAKE ORION, MI 48362-3167
(248) 693-4800
(248) 693-3539
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005487
MI
111N00000X
Chiropractor
2301009859
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2712608
—
MI
05
—
4803194
—
MI
01
—
N92180005
DR. BRAD SABO - PTAN
MI
Enumeration date
09/29/2006
Last updated
02/17/2017
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