Provider Demographics
NPI:1720452899
Name:PALLESCHI, ADAM LOUIS (DC, MS, BS)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:LOUIS
Last Name:PALLESCHI
Suffix:
Gender:M
Credentials:DC, MS, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5752 MAIN ST
Mailing Address - Street 2:PO BOX 495
Mailing Address - City:LEXINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48450-8800
Mailing Address - Country:US
Mailing Address - Phone:404-783-2992
Mailing Address - Fax:
Practice Address - Street 1:27850 GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-4803
Practice Address - Country:US
Practice Address - Phone:586-772-5876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-30
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010349111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor