| Michigan Spine Center Llc | |
|
30325 Gratiot Ave, Roseville, MI 48066-1714 | |
| (586) 774-6301 | |
| Not Available |
| Full Name | Michigan Spine Center Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 30325 Gratiot Ave, Roseville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871777235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | 2301009010 (Michigan) | Primary |
| Provider Name | Jason Aaron Stanczak |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760511877 PECOS PAC ID: 0042227944 Enrollment ID: I20060323000708 |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Spine Center Llc 30325 Gratiot Ave, Roseville, MI 48066-1714 Ph: (586) 774-6301 | Michigan Spine Center Llc 30325 Gratiot Ave, Roseville, MI 48066-1714 Ph: (586) 774-6301 |
Mr. David S. Wendel, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 25710 Kelly Road, Suite 2, Roseville, MI 48066 Phone: 586-445-8032 Fax: 586-359-6468 | |
Dr. Ramona Pleva, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 27850 Gratiot Ave, Roseville, MI 48066 Phone: 586-772-5876 Fax: 586-772-1122 | |
Dr. Robert Anthony Selvaggi, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 19361 E 10 Mile Rd, Roseville, MI 48066 Phone: 313-605-0973 | |
Selvaggi Chiropractic Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 19361 E 10 Mile Rd, Roseville, MI 48066 Phone: 313-605-0973 | |
Tutak Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 18600 Florence St., Suite B5, Roseville, MI 48066 Phone: 586-771-3888 Fax: 586-771-1595 | |
Dr. Jessica De Marie Lupo, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 27850 Gratiot Ave, Roseville, MI 48066 Phone: 586-772-5876 Fax: 586-772-1122 | |
Dr. Shahid Ali Khan, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 27850 Gratiot Ave, Roseville, MI 48066 Phone: 586-772-5876 Fax: 586-772-1122 |