Fountain of Life Chiropractic PC

NPI #1710323993 in Petoskey, Michigan

Provider Information

NPI Number
1710323993
Entity Type
Organization
Organization Name
Fountain of Life Chiropractic PC
Primary Specialty
Chiropractor
Enumeration Date
May 15, 2013
Last Updated
May 15, 2013

Practice Location

Address
267 CREEKSIDE DR
Address 2
SUITE 100
ZIP Code
49770-7609
Phone
(231) 347-1776

Authorized Official

Name
DR. JUSTIN NICHOLAS FOUNTAIN, D.C.
Title
PRESIDENT/OWNER
Phone
(906) 440-9272

Specialties & Taxonomy Codes

Specialty
Chiropractor

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