Organization
DONATHAN FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JAMES DONATHAN DC (CHAIRMAN OF THE BOARD)
(734) 283-3200
Entity
Organization
Contact information
Practice address
17533 FORT ST, RIVERVIEW, MI 48193-6630
(734) 283-3200
(734) 283-5541
Mailing address
17533 FORT ST, RIVERVIEW, MI 48193-6630
(734) 283-3200
(734) 283-5541
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2301007586
MI
111NN1001X
Nutrition Chiropractor
2301008033
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4673483
—
MI
Enumeration date
07/14/2006
Last updated
11/05/2015
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