Dr Glenn A Caudell, DC | |
5928 N Telegraph Rd, Dearborn Heights, MI 48127-3221 | |
(313) 563-0530 | |
(313) 563-1430 |
Full Name | Dr Glenn A Caudell |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 39 Years |
Location | 5928 N Telegraph Rd, Dearborn Heights, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407894843 | NPI | - | NPPES |
950H25164 | Other | MI | BC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2301005226 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Caudell Chiropractic Clinic | 8729253794 | 2 |
Provider Name | Caudell Chiropractic Clinic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740347103 PECOS PAC ID: 8729253794 Enrollment ID: O20111203000043 |
Mailing Address | Practice Location Address |
---|---|
Dr Glenn A Caudell, DC 23452 Hill St, Dearborn Heights, MI 48127-2381 Ph: (313) 562-5742 | Dr Glenn A Caudell, DC 5928 N Telegraph Rd, Dearborn Heights, MI 48127-3221 Ph: (313) 563-0530 |
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