Individual provider · Type 1 NPI

Gary P. Blackburn, DC

Chiropractor · Lathrup Village, MI

NPI number 1598858532 Active

Practice location

26751 Southfield Rd
Lathrup Village, MI 48076-4532

Call (248) 552-0510 Map

Mailing address

1210 Smith Ave
Royal Oak, MI 48073-3190

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2301007072 (MI)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

4 other providers at this address

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About NPI 1598858532

Gary P. Blackburn, DC's National Provider Identifier is 1598858532, issued on Oct 2, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lathrup Village, MI. The record was last updated on Jul 8, 2007.