Lakeside Chiropractic, P.c.

NPI 1265595227 - Chiropractor - 111N00000X

NPI Details
NPI 1265595227
Enumeration Date 12/19/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRUCE B. BRUCE
Position PRESIDENT
Phone (906) 774-8359
Fax (906) 774-8461
Practice Location
724 CARPENTER AVE
IRON MOUNTAIN MI, 49801-3306, US
Phone (906) 774-8359
Fax (906) 774-8461
Business Location
1002 E GRANT ST
IRON MOUNTAIN MI, 49801-1732, US
Phone (906) 774-4439
Fax (906) 774-1928
Toxanomy
Taxonomy Code 111N00000X
License State Michigan
License Number 2301002049
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According to our database, Lakeside Chiropractic, P.c. NPI is 1265595227, taxonomy code is 111N00000X and license number is 2301002049, license state is located at Michigan. Lakeside Chiropractic, P.c. physically located at 724 Carpenter Ave, Iron Mountain MI, 49801-3306. NPI Number 1033115704 has the healthcare provider type.

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1265595227 NPI number is provided on an as is basis without warranty of any kind. 1265595227 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeside Chiropractic, P.c. are for informational purposes only.