Dr Kody Fagin, DC | |
2614 S Adams Rd, Rochester Hills, MI 48309-5509 | |
(248) 897-0699 | |
Not Available |
Full Name | Dr Kody Fagin |
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Gender | Male |
Speciality | Chiropractor |
Location | 2614 S Adams Rd, Rochester Hills, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447939020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2301401380 (Michigan) | Primary |
Provider Name | Vitality Precision Chiropractic Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437501053 PECOS PAC ID: 4183918949 Enrollment ID: O20160802002897 |
Mailing Address | Practice Location Address |
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Dr Kody Fagin, DC 2614 S Adams Rd, Rochester Hills, MI 48309-5509 Ph: (248) 897-0699 | Dr Kody Fagin, DC 2614 S Adams Rd, Rochester Hills, MI 48309-5509 Ph: (248) 897-0699 |
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