| Genesis Chiropractic Pllc | |
|
21880 23 Mile Rd, Macomb, MI 48042-4422 | |
| (586) 604-3253 | |
| Not Available |
| Full Name | Genesis Chiropractic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 21880 23 Mile Rd, Macomb, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619309218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2301009884 (Michigan) | Primary |
| Provider Name | Edwin R Kaput |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861767238 PECOS PAC ID: 8729223664 Enrollment ID: I20130326000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Chiropractic Pllc 21880 23 Mile Rd, Macomb, MI 48042-4422 Ph: (586) 604-3253 | Genesis Chiropractic Pllc 21880 23 Mile Rd, Macomb, MI 48042-4422 Ph: (586) 604-3253 |
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