Individual
MR. DEREK ELWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
42958 GARFIELD RD, CLINTON TOWNSHIP, MI 48038
(586) 741-5782
Mailing address
42958 GARFIELD RD, CLINTON TOWNSHIP, MI 48038
(576) 741-5782
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009614
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F385710
BCBS MI
MI
Enumeration date
10/29/2009
Last updated
08/02/2011
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