Charles Lietz Action Ak Chiropractic Clinic Llc

NPI 1144518705 - Chiropractor - 111N00000X

NPI Details
NPI 1144518705
Enumeration Date 07/18/2011
Last Updated 07/18/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name CHARLES MICHAEL CHARLES
Position OWNER
Phone (616) 530-3333
Fax (616) 608-3803
Practice Location
3584 FAIRLANES AVE SW
GRANDVILLE MI, 49418-1583, US
Phone (616) 530-3333
Fax (616) 608-3803
Business Location
3584 FAIRLANES AVE SW
GRANDVILLE MI, 49418-1583, US
Phone (616) 530-3333
Fax (616) 608-3803
Toxanomy
Taxonomy Code 111N00000X
License State Michigan
License Number 2301004973
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According to our database, Charles Lietz Action Ak Chiropractic Clinic Llc NPI is 1144518705, taxonomy code is 111N00000X and license number is 2301004973, license state is located at Michigan. Charles Lietz Action Ak Chiropractic Clinic Llc physically located at 3584 Fairlanes Ave Sw, Grandville MI, 49418-1583. NPI Number 1033115704 has the healthcare provider type.

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1144518705 NPI number is provided on an as is basis without warranty of any kind. 1144518705 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Lietz Action Ak Chiropractic Clinic Llc are for informational purposes only.