Organization
MINTZ FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC MINTZ D.C. (OWNER)
(248) 737-9494
Entity
Organization
Contact information
Practice address
5600 W MAPLE RD, SUITE A110, WEST BLOOMFIELD, MI 48322-3704
(248) 737-9494
(248) 865-2549
Mailing address
5600 W MAPLE RD, SUITE A110, WEST BLOOMFIELD, MI 48322-3704
(248) 737-9494
(248) 865-2549
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
EM007699
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F35461
BCBSM PIN
MI
Enumeration date
02/13/2008
Last updated
02/13/2008
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