Great Lakes Family Chiropractic Plc

NPI #1073758033 in Mattawan, Michigan

Provider Information

NPI Number: 1073758033
Entity Type: Organization
Organization Name: Great Lakes Family Chiropractic Plc
Primary Specialty: Chiropractor
Enumeration Date: Dec 4, 2008
Last Updated: Dec 5, 2008

Practice Location

Address: 25344 RED ARROW HWY
Address 2: STE A
City: Mattawan
State: Michigan
ZIP Code: 49071-9767
Phone: (269) 668-3709

Authorized Official

Name: MRS. NANCY LEE MAXWELL
Title: OFFICE MANAGER
Phone: (269) 668-3709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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