| Recovered Chiropractic | |
|
5140 Highland Rd # 1912 Waterford MI 48327-1912 | |
| (517) 410-0187 | |
| Not Available |
| Full Name | Recovered Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5140 Highland Rd # 1912, Waterford, Michigan |
| Authorized Official Name and Position | Marc A Gusse (OWNER) |
| Authorized Official Contact | 5174100187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovered Chiropractic 3845 Iris Dr Waterford Township MI 48329-1171 Ph: (517) 410-0187 | Recovered Chiropractic 5140 Highland Rd # 1912 Waterford MI 48327-1912 Ph: (517) 410-0187 |
| NPI Number | 1417593963 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 03/26/2020 |
| Medicare PECOS PAC ID | 9638500804 |
|---|---|
| Medicare Enrollment ID | O20200504002578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417593963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Richard J Woolman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952317992 PECOS PAC ID: 3072522176 Enrollment ID: I20060419000101 |
| Provider Name | Marc A Gusse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215583273 PECOS PAC ID: 0547691719 Enrollment ID: I20200504002692 |
| Provider Name | Isaiah Avink |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003457532 PECOS PAC ID: 3072922814 Enrollment ID: I20210507002012 |
| Provider Name | Jacob Niergarth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487370078 PECOS PAC ID: 0345695144 Enrollment ID: I20231014000517 |
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