Organization
CUSTOM CHIROPRACTIC AND WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON T OLAFSSON DC (OWNER)
(248) 495-6066
Entity
Organization
Contact information
Practice address
3631 S BALDWIN RD, ORION, MI 48359-1506
(248) 391-5400
(248) 391-5404
Mailing address
3631 S BALDWIN RD, ORION, MI 48359-1506
(248) 495-6066
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009664
MI
Other
Enumeration date
11/08/2010
Last updated
11/21/2013
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