Comprehensive Spine And Sports Center, Pllc | |
28043 Hoover Rd, Warren, MI 48093-4167 | |
(716) 848-0558 | |
Not Available |
Full Name | Comprehensive Spine And Sports Center, Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 28043 Hoover 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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1285148429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Adebowale O Adegbenro |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1225343387 PECOS PAC ID: 6800085424 Enrollment ID: I20110113000638 |
Provider Name | Kirbi D'amore Bivens |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1568989267 PECOS PAC ID: 3678812906 Enrollment ID: I20190305001413 |
Mailing Address | Practice Location Address |
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Comprehensive Spine And Sports Center, Pllc 16108 Kingsway Dr, Macomb, MI 48044-1137 Ph: (716) 848-0558 | Comprehensive Spine And Sports Center, Pllc 28043 Hoover Rd, Warren, MI 48093-4167 Ph: (716) 848-0558 |
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