Organization
DONATHAN FAMILY CHIROPRACTIC PC
Active
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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