| Kanan Chiropractic | |
|
16782 21 Mile Rd, Macomb, MI 48044-2600 | |
| (586) 286-2960 | |
| (586) 286-8760 |
| Full Name | Kanan Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 16782 21 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 |
|---|---|---|---|
| 1427297076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | JB009218 (Michigan) | Primary |
| Provider Name | Elizabeth P Brieden |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649451998 PECOS PAC ID: 0941381990 Enrollment ID: I20080115000779 |
| Provider Name | Lawrence Michael Mosurak |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649669425 PECOS PAC ID: 2668793712 Enrollment ID: I20150602001161 |
| Mailing Address | Practice Location Address |
|---|---|
| Kanan Chiropractic 16782 21 Mile Rd, Macomb, MI 48044-2600 Ph: (586) 286-2960 | Kanan Chiropractic 16782 21 Mile Rd, Macomb, MI 48044-2600 Ph: (586) 286-2960 |
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