Provider Demographics
NPI:1790083897
Name:CZYZEWSKI, NICK EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:NICK
Middle Name:EDWARD
Last Name:CZYZEWSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1600 TOWN COMMONS DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48855-6807
Mailing Address - Country:US
Mailing Address - Phone:517-540-6780
Mailing Address - Fax:517-540-6782
Practice Address - Street 1:1600 TOWN COMMONS DR
Practice Address - Street 2:SUITE 104
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48855-6807
Practice Address - Country:US
Practice Address - Phone:517-540-6780
Practice Address - Fax:517-540-6782
Is Sole Proprietor?:No
Enumeration Date:2011-03-14
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008070111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor