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Great Lakes Chiropractic Health Center, PC.

Chiropractor in Lapeer, MI. Organization (NPI-2).

NPI number1992016422
StatusActive
Last updated in NPPESJun 30, 2010

Details

NPI
1992016422
Entity type
Organization (NPI-2)
Legal business name
Great Lakes Chiropractic Health Center, PC.
Organization subpart
No
Enumeration date
Jun 30, 2010
Last updated
Jun 30, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

92 W Nepessing St
Lapeer, MI 48446-2144

Phone 305-608-9248

Mailing address

92 W Nepessing St
Lapeer, MI 48446-2144

Authorized official

Todd Jason Sussman
Owner
3056089248

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