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Organization

ADVANCED BACK SOLUTIONS

Active
Other names
Plymouth Chiropractic Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN M VENERUS D.C. (PRESIDENT)
(734) 437-7689
Entity
Organization

Contact information

Practice address
615 N MILL ST, STE C, PLYMOUTH, MI 48170-1397
(734) 437-7689
(734) 437-7699
Mailing address
615 N MILL ST, STE C, PLYMOUTH, MI 48170-1397
(734) 437-7689
(734) 437-7699

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008605
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H22911
BCBS
MI
05
144951428
MI
01
1871529404
NPI
MI
Enumeration date
10/26/2006
Last updated
10/16/2013
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