Organization
SOMERSET THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN EDWARD MOUSSAWER (PRESIDENT)
(248) 816-6776
Entity
Organization
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 816-6776
(248) 816-6766
Mailing address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 816-6776
(248) 816-6766
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007140
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F340390
BCBS MI
MI
Enumeration date
05/05/2008
Last updated
05/05/2008
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