Individual
DR. COREY BRAD RODNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4604 N SAGINAW RD, SUITE A, MIDLAND, MI 48640-2387
(989) 832-7535
(989) 832-1631
Mailing address
4604 N SAGINAW RD, SUITE A, MIDLAND, MI 48640-2387
(989) 832-7535
(989) 832-1631
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004924
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538663
—
MI
01
—
950E661120
BLUE CROSS
MI
01
—
CR004924
LICENSE
MI
Enumeration date
08/16/2006
Last updated
07/08/2007
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