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Individual

DOUGLAS A. YARASCHUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
24801 5 MILE RD STE 22, REDFORD, MI 48239-3654
(313) 387-8122
(313) 387-8123
Mailing address
24801 5 MILE RD STE 22, REDFORD, MI 48239-3654
(313) 387-8122
(313) 387-8123

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004938
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11464341
CAQH
MI
Enumeration date
07/28/2005
Last updated
09/17/2008
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