Organization · NPI-2

Atlas Axis & Associaties P C

Chiropractor · Southfield, MI

NPI number1871779967
StatusActive
Last updated in NPPESJan 18, 2008

Details

NPI
1871779967
Entity type
Organization (NPI-2)
Legal business name
Atlas Axis & Associaties P C
Organization subpart
No
Enumeration date
Jan 18, 2008
Last updated
Jan 18, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor2301004265MIYes

Practice location

17333 W 10 Mile Rd
Southfield, MI 48075-2901

Phone 248-559-6959

Mailing address

123 S Riverbank St
Wyandotte, MI 48192-2723

Phone 248-559-6959

Authorized official

Dennis Allen Kelsey
President
2485596959

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