GRASS LAKE CHIROPRACTIC CENTER PLLC NPI 1629233150

NPI Information

GRASS LAKE CHIROPRACTIC CENTER, PLLC is a chiropractor in Grass Lake, MI. The provider is 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. GRASS LAKE CHIROPRACTIC CENTER, PLLC NPI is 1629233150. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

125 W MICHIGAN AVE
GRASS LAKE, MI
ZIP 49240-188
Phone: (517) 522-8315
Fax: (517) 522-5493

The provider's authorized official is Daniel Nelson Mikel .
The authorized official title is D.c and has the following contact phone number (517) 522-8315.

The CLIA number assigned to this NPI record is 23D0378762 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/24/2008 and was last updated on 10/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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