Provider Demographics
NPI:1235117326
Name:HANCZARYK, MICHEIL W (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHEIL
Middle Name:W
Last Name:HANCZARYK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5098 W BRISTOL RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-2919
Mailing Address - Country:US
Mailing Address - Phone:810-733-1261
Mailing Address - Fax:810-733-1274
Practice Address - Street 1:5098 W BRISTOL RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-2919
Practice Address - Country:US
Practice Address - Phone:810-733-1261
Practice Address - Fax:810-733-1274
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMH002820111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0B55055Medicare PIN
MIT32760Medicare UPIN