Great Lakes Spine & Rehab Clinic LLC

NPI #1285929547 in Riverview, Michigan

Provider Information

NPI Number
1285929547
Entity Type
Organization
Organization Name
Great Lakes Spine & Rehab Clinic LLC
Primary Specialty
Chiropractor
Enumeration Date
Jun 15, 2011
Last Updated
Dec 29, 2011

Practice Location

Address
14500 KING RD
ZIP Code
48193-7957
Phone
(734) 560-7300

Authorized Official

Name
RICHARD J STANLEY, DC
Title
CHIROPRACTOR
Phone
(734) 560-7300

Specialties & Taxonomy Codes

Specialty
Chiropractor

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