| NPI | 1215169214 |
|---|---|
| Doing Business As | GREAT LAKES HEALTH & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | RAYMOND DEXTER SANDERS Owner/Doctor 616-842-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 23010018001) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2009-08-10 |