| |
2172 Deeter Rd, Luzerne, MI 48636-9775 | |
(989) 889-1477 | |
(989) 333-5900 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 2172 Deeter Rd, Luzerne, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700228608 | NPI | - | NPPES |
1487756987 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2301007597 (Michigan) | Primary |
Provider Name | Gregory Thomas Thornton |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1487756987 PECOS PAC ID: 2668534447 Enrollment ID: I20090105000267 |
Mailing Address | Practice Location Address |
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2172 Deeter Rd, Luzerne, MI 48636-9775 Ph: (989) 889-1477 | 2172 Deeter Rd, Luzerne, MI 48636-9775 Ph: (989) 889-1477 |
Nathaniel Scott Weiss, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2172 Deeter Rd, Luzerne, MI 48636 Phone: 989-889-1477 |