Organization
MICHIGAN SPINE CENTER LLC
Active
Organization
MICHIGAN SPINE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON A STANCZAK D,C, (OWNER)
(586) 774-6301
Entity
Organization
Contact information
Practice address
30325 GRATIOT AVE, ROSEVILLE, MI 48066-1714
(586) 774-6301
Mailing address
30325 GRATIOT AVE, ROSEVILLE, MI 48066-1714
(586) 774-6301
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2301009010
MI
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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