Cousineau Chiropractic Center Pllc

NPI #1164600086 in Gaylord, Michigan

Provider Information

NPI Number: 1164600086
Entity Type: Organization
Organization Name: Cousineau Chiropractic Center Pllc
Primary Specialty: Chiropractor
Enumeration Date: Feb 1, 2008
Last Updated: Feb 1, 2008

Practice Location

Address: 997 N CENTER AVE
City: Gaylord
State: Michigan
ZIP Code: 49735
Phone: (989) 732-2225

Authorized Official

Name: SHANE M COUSINEAU, DC
Title: PRESIDENT
Phone: (989) 732-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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