Grant Larie, D.C.

NPI #1770939159 in De Pere, Wisconsin

Provider Information

NPI Number: 1770939159
Entity Type: Individual
Name: Grant Larie, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: May 4, 2016
Last Updated: May 4, 2016

Practice Location

Address: 502 GEORGE ST
City: De Pere
State: Wisconsin
ZIP Code: 54115-2714
Phone: (920) 337-0103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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