| Desira Chiropractic Life Center Llc | |
|
33250 Warren Rd Westland MI 48185-2920 | |
| (734) 422-7800 | |
| Not Available |
| Full Name | Desira Chiropractic Life Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 33250 Warren Rd, Westland, Michigan |
| Authorized Official Name and Position | Richard Gerard Desira (DIRECTOR) |
| Authorized Official Contact | 7344227800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desira Chiropractic Life Center Llc 33250 Warren Rd Westland MI 48185-2920 Ph: (734) 422-7800 | Desira Chiropractic Life Center Llc 33250 Warren Rd Westland MI 48185-2920 Ph: (734) 422-7800 |
| NPI Number | 1205012523 |
|---|---|
| Provider Enumeration Date | 01/16/2008 |
| Last Update Date | 01/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205012523 | NPI | - | NPPES |
| 4951482 | Medicaid | MI | |
| 95OH225380 | Other | MI | BCBS MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2301005025 (Michigan) | Primary |
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