Crystal Lake Chiropractic, Plc

NPI #1053691618 in Benzonia, Michigan

Provider Information

NPI Number: 1053691618
Entity Type: Organization
Organization Name: Crystal Lake Chiropractic, Plc
Primary Specialty: Chiropractor
Enumeration Date: Aug 26, 2011
Last Updated: Sep 28, 2011

Practice Location

Address: 6635 NORTH ST
City: Benzonia
State: Michigan
ZIP Code: 49616-9765
Phone: (231) 882-5533

Authorized Official

Name: DR. JANINE FELICE-JOHNSON, D.C.
Title: PRESIDENT
Phone: (231) 882-5533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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