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Individual

MR. SAM CHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1010 E MAIN ST, OWOSSO, MI 48867-9007
(989) 729-2273
(989) 723-4836
Mailing address
1010 E MAIN ST, OWOSSO, MI 48867-9007
(989) 729-2273
(989) 723-4836

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008911
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1015769
MCLAREN HEALTH PLAN
MI
01
200000001732
PHPMM-FC
MI
01
383374689
PPOM
MI
01
44-00276
PHYSICIANS HEALTH PLAN
MI
01
44-70072
PHYSICIANS HEALTH PLAN
MI
05
4843805
MI
01
692220
ACN GROUP
MI
01
7605647
AETNA US HEALTHCARE PPO
MI
01
9412258
PRIVATE HEALTHCARE SYSTEM
MI
01
950G810160
BCBSM- GROUP
MI
01
950G810560
BCBSM PROVIDER ID
MI
Enumeration date
02/08/2006
Last updated
12/29/2008
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