Organization
COUSINEAU CHIROPRACTIC LIFE CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN K BENORE (BILLER)
(734) 479-1880
Entity
Organization
Contact information
Practice address
14550 KING RD, RIVERVIEW, MI 48193-7963
(734) 479-1880
(734) 479-4810
Mailing address
14550 KING RD, RIVERVIEW, MI 48193-7963
(734) 479-1880
(734) 479-4810
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
09/29/2011
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