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Dr. Charles Michael Lietz, D.C.

Chiropractor in Grandville, MI. Individual provider (NPI-1).

NPI number1568682201
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1568682201
Entity type
Individual (NPI-1)
Name
Dr. Charles Michael Lietz
Credential
D.C.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 26, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorL761039MIYes

Practice location

3584 Fairlanes Ave Sw
Grandville, MI 49418-1583

Phone 616-530-3333 · Fax 616-530-8320

Mailing address

3584 Fairlanes Ave Sw
Grandville, MI 49418-1583

Phone 616-530-3333 · Fax 616-530-8320

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