Great Lakes Family Chiropractic, Inc.

NPI #1811975717 in Kentwood, Michigan

Provider Information

NPI Number: 1811975717
Entity Type: Organization
Organization Name: Great Lakes Family Chiropractic, Inc.
Primary Specialty: Chiropractor
Enumeration Date: Jan 3, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3138 BROADMOOR AVE SE
City: Kentwood
State: Michigan
ZIP Code: 49512-1845
Phone: (616) 241-4040

Authorized Official

Name: DR. DOUGLAS GENE MCKENZIE, D.C.
Title: DR. OWNER
Phone: (616) 241-4040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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