Organization
ABC BACK & NECK CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J SUSZKO DC (PRESIDENT)
(810) 750-0222
Entity
Organization
Contact information
Practice address
3283 W SILVER LAKE RD, FENTON, MI 48430-1369
(810) 750-0222
(810) 750-6222
Mailing address
3283 W SILVER LAKE RD, FENTON, MI 48430-1369
(810) 750-0222
(810) 750-6222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007718
MI
111NN1001X
Nutrition Chiropractor
—
—
111NR0200X
Radiology Chiropractor
2301007718
MI
Other
Enumeration date
02/21/2007
Last updated
11/28/2007
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