Individual
DR. SAM CARUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
25 S LAPEER ST, LAKE ORION, MI 48362-3167
(248) 693-4800
(248) 693-3539
Mailing address
25 S LAPEER ST, LAKE ORION, MI 48362-3167
(248) 693-4800
(248) 693-3539
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005487
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2712608
—
MI
01
—
950F35301
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/13/2005
Last updated
02/20/2017
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