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8718 Swan Creek Rd, Newport, MI 48166-9273 | |
(734) 586-0293 | |
(734) 586-0295 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 8718 Swan Creek Rd, Newport, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1962599811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2301008690 (Michigan) | Primary |
Provider Name | Nicholas John Odette |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1255447306 PECOS PAC ID: 7810994365 Enrollment ID: I20061026000292 |
Mailing Address | Practice Location Address |
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Po Box 120, Newport, MI 48166-0120 Ph: (734) 586-0293 | 8718 Swan Creek Rd, Newport, MI 48166-9273 Ph: (734) 586-0293 |
Dr. Nicholas John Odette, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 8718 Swan Creek Rd, Newport, MI 48166 Phone: 734-586-0293 Fax: 734-586-0294 |