Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 2301005268 | MI |
NPI | 1588832083 |
---|---|
Provider Name | Dr. Michael Joseph Concessi |
First Address | Riverview, MI 48193-7406 |
Second Address | Riverview, MI 48193-7406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2008 |
Last Update Date | 19/02/2008 |