Organization · NPI-2

Advanced Spine And Headache Center

Chiropractor · Southfield, MI

NPI number1215033311

StatusActive

Last updated in NPPESMar 25, 2015

Details

NPI: 1215033311
Entity type: Organization (NPI-2)
Legal business name: Advanced Spine And Headache Center
Organization subpart: No
Enumeration date: Sep 15, 2006
Last updated: Mar 25, 2015

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
111N00000X	Chiropractor	–	–	Yes
207Q00000X	Family Medicine	–	–
207R00000X	Internal Medicine	–	–
2084N0400X	Psychiatry & Neurology, Neurology	–	–
225100000X	Physical Therapist	–	–

Other names

Alex Meltser, D.C. (Other Name)

Practice location

21751 W 11 Mile Rd
Suite 110
Southfield, MI 48076-3712

Phone 248-356-2100 · Fax 248-356-2121

Mailing address

21751 W 11 Mile Rd
Suite 110
Southfield, MI 48076-3712

Phone 248-356-2100 · Fax 248-356-2121

Authorized official

Alex Meltser
Owner
2483562100

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