Prospine and Sports P.c.
NPI #1700223435 in Farmington, Michigan
Provider Information
- NPI Number
- 1700223435
- Entity Type
- Organization
- Organization Name
- Prospine and Sports P.c.
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jun 4, 2013
- Last Updated
- Jun 4, 2013
Practice Location
- Address
- 32738 GRAND RIVER AVE
- City
- Farmington
- State
- Michigan
- ZIP Code
- 48336-3132
- Phone
- (248) 615-1381
Authorized Official
- Name
- DUSTIN MATTILA, D.C.
- Title
- PRESIDENT
- Phone
- (248) 615-1381
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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