Comprehensive Spine And Sports Center, PLLC
Chiropractor in Warren, MI. Organization (NPI-2).
NPI number1285148429
StatusActive
Last updated in NPPESApr 6, 2018
Details
- NPI
- 1285148429
- Entity type
- Organization (NPI-2)
- Legal business name
- Comprehensive Spine And Sports Center, PLLC
- Organization subpart
- No
- Enumeration date
- Nov 27, 2017
- Last updated
- Apr 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
28043 Hoover RdWarren, MI 48093-4167
Phone 716-848-0558
Mailing address
16108 Kingsway DrMacomb, MI 48044-1137
Phone 716-848-0558
Authorized official
Marian Adegbenro
Doctor Of Chiropractic
7168480558
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