Provider Demographics
NPI:1174129126
Name:WARNER, MONICA ELISE (DC)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:ELISE
Last Name:WARNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MONICA
Other - Middle Name:ELILSE
Other - Last Name:TOSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:24285 RED ARROW HWY STE A
Mailing Address - Street 2:
Mailing Address - City:MATTAWAN
Mailing Address - State:MI
Mailing Address - Zip Code:49071-7762
Mailing Address - Country:US
Mailing Address - Phone:269-501-8484
Mailing Address - Fax:877-691-0189
Practice Address - Street 1:24285 RED ARROW HWY
Practice Address - Street 2:
Practice Address - City:MATTAWAN
Practice Address - State:MI
Practice Address - Zip Code:49071-7762
Practice Address - Country:US
Practice Address - Phone:269-399-4690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-07
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301011029111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor