Individual
SIPHAY SIPASEUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46070 LAKE VILLA DR, BELLEVILLE, MI 48111-3170
(586) 298-4223
Mailing address
46070 LAKE VILLA DR, BELLEVILLE, MI 48111-3170
(586) 298-4223
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
S123766016851
MI
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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