1st Chiropractic Life Center | |
12445 E 12 Mile Rd, Warren, MI 48093-3572 | |
(586) 817-3802 | |
Not Available |
Full Name | 1st Chiropractic Life Center |
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Type | Facility |
Speciality | Chiropractor |
Location | 12445 E 12 Mile Rd, Warren, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1952023822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Mary Phyllis Wlodyga Frye |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1376533042 PECOS PAC ID: 4284520925 Enrollment ID: I20040227000484 |
Provider Name | Shelbie Frye |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1588321731 PECOS PAC ID: 2961873997 Enrollment ID: I20230130001092 |
Mailing Address | Practice Location Address |
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1st Chiropractic Life Center 12445 E 12 Mile Rd, Warren, MI 48093-3572 Ph: (586) 817-3802 | 1st Chiropractic Life Center 12445 E 12 Mile Rd, Warren, MI 48093-3572 Ph: (586) 817-3802 |
Dr. Anthony Eugene Pulice, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 22860 Van Dyke Ave, Warren, MI 48089 Phone: 586-754-4690 | |
Dr. Richard Allan Kay, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 30827 Hoover Rd, Warren, MI 48093 Phone: 586-751-8984 Fax: 586-751-5221 | |
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Pamela L. Tomaszycki, D.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 31850 Schoenherr Rd, Warren, MI 48088 Phone: 586-293-4440 Fax: 586-293-0840 | |
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Dr. Carrol E Urban, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6201 Chicago Rd, Warren, MI 48092 Phone: 586-264-3621 |