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Life Cycle Family Chiropractic, Pc

Life Cycle Family Chiropractic, Pc is a health care provider in Milan, MI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1162 Dexter St, Milan, MI 48160-1162, US
Practice Location Phone734-439-0100
Practice Location Fax734-439-7701
Legal Business NameLIFE CYCLE FAMILY CHIROPRACTIC, PC
NPI ?1336280817
Entity TypeOrganization
Enumeration Date ? Feb 9, 2007
Last Update Date ? Jan 25, 2012
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Life Cycle Family Chiropractic, Pc

SpecialtySpecializationLicenseLicense State
Chiropractor 2301008349Michigan

legacy-id-icon Legacy Provider IDs of Life Cycle Family Chiropractic, Pc

Provider IdIssuer StateIssuer TypeIssuer
OH 13360MichiganOtherBCN
95-0-H1-1336-0MichiganOtherBCBS
12317MichiganOtherMCARE

official-icon Authorized Official of Life Cycle Family Chiropractic, Pc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Life Cycle Family Chiropractic, Pc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. James Matthew Wagner (D.C.)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number734-439-0100