| NPI | 1184862633 |
|---|---|
| Doing Business As | LAKESHORE FAMILY CHIROPRACTIC HEALTH & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JASON JAMES TIEL Owner/Operator 616-850-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009493) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |