Organization
CHIROPRACTIC WORKS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUNCAN KOTI MUKEKU DC (DIRECTOR)
(248) 398-1650
Entity
Organization
Contact information
Practice address
21790 COOLIDGE HWY, OAK PARK, MI 48237
(248) 398-1650
(248) 398-1653
Mailing address
21790 COOLIDGE HWY, OAK PARK, MI 48237-3156
(248) 398-1650
(248) 398-1653
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009139
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144969496
—
MI
01
—
2301009139
LICENSE
MI
01
—
7391800
AETNA
MI
01
—
950F317350
BCBSM
MI
Enumeration date
04/30/2008
Last updated
05/22/2018
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