| O Dell Chiropractic Center Pc | |
|
1183 Pontiac Trail, Walled Lake, MI 48390 | |
| (248) 624-6111 | |
| (248) 624-6129 |
| Full Name | O Dell Chiropractic Center Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1183 Pontiac Trail, Walled Lake, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295751873 | NPI | - | NPPES |
| 142197 | Other | MI | CARE CHOICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2301007934 (Michigan) | Primary |
| Provider Name | Eric S Dilts |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750472759 PECOS PAC ID: 0941388011 Enrollment ID: I20080415000749 |
| Provider Name | Randolph C Odell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477644375 PECOS PAC ID: 5799751327 Enrollment ID: I20110113000146 |
| Mailing Address | Practice Location Address |
|---|---|
| O Dell Chiropractic Center Pc 1183 Pontiac Trail, Walled Lake, MI 48390 Ph: (248) 624-6111 | O Dell Chiropractic Center Pc 1183 Pontiac Trail, Walled Lake, MI 48390 Ph: (248) 624-6111 |
Dr. Adam James Woodbeck, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 128 W Walled Lake Dr, Walled Lake, MI 48390 Phone: 248-926-1829 Fax: 248-926-1837 | |
Chiropractic Care Center Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 1881 N Pontiac Trl, Suite B, Walled Lake, MI 48390 Phone: 248-926-0455 | |
Woodbeck Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 128 W Walled Lake Dr, Walled Lake, MI 48390 Phone: 248-926-1829 Fax: 248-926-1837 | |
Dr. Nikola Andreev, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 547 N Pontiac Trl, Walled Lake, MI 48390 Phone: 248-560-7971 | |
Dr. Dana L Corosanite, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1183 N Pontiac Trl, Walled Lake, MI 48390 Phone: 248-624-6111 Fax: 248-624-6129 | |
Finn Family Chiropractic Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 2344 South Commerce Road, Walled Lake, MI 48390 Phone: 248-624-1144 Fax: 248-624-6694 |