Individual
DR. JAMES RODNEY MCCANSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
45648 M 51, DECATUR, MI 49045-9038
(269) 423-7034
(269) 423-8817
Mailing address
45648 M 51, DECATUR, MI 49045-9038
(269) 423-7034
(269) 423-8817
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002769
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H00051
BLUE CROSS BLUE SHIELD
MI
05
—
2040573
—
MI
Enumeration date
10/24/2006
Last updated
06/13/2013
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