Organization
CRANIOSACRAL INSTITUTE OF MICHIGAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA LYNNE KOSCHTIAL HOWE MSPT (OWNER)
(586) 991-0801
Entity
Organization
Contact information
Practice address
245 BARCLAY CIR, SUITE 400, ROCHESTER HILLS, MI 48307-5815
(586) 991-0801
(586) 991-0804
Mailing address
245 BARCLAY CIR, SUITE 400, ROCHESTER HILLS, MI 48307-5815
(586) 991-0801
(586) 991-0804
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5501006539
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01493
BCBSM
MI
Enumeration date
08/09/2006
Last updated
01/05/2016
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