Provider Demographics
NPI:1750636007
Name:VIGNEAU, JOSEPH JEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JEAN
Last Name:VIGNEAU
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 1:39949 GARFIELD RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-4301
Mailing Address - Country:US
Mailing Address - Phone:586-286-1112
Mailing Address - Fax:586-412-3673
Practice Address - Street 1:39949 GARFIELD RD
Practice Address - Street 2:SUITE B
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-4301
Practice Address - Country:US
Practice Address - Phone:586-286-1112
Practice Address - Fax:586-412-3673
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009986111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor