DR. Mark Charles Grant

NPI #1477730141 in La Porte, Indiana

Provider Information

NPI Number: 1477730141
Entity Type: Individual
Name: DR. Mark Charles Grant
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Enumeration Date: Jan 24, 2008
Last Updated: Jan 24, 2008

Practice Location

Address: 451 PINE LAKE AVE
City: La Porte
State: Indiana
ZIP Code: 46350-2314
Phone: (219) 362-3766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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Organizations

Provider Name	Specialty	City
Grant Chiropractic Clinic, INC	Chiropractor	La Porte	AI Deep Dive

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