NPI | 1508116088 |
---|---|
Doing Business As | GREAT LAKES HEALTH & WELLNESS OF GRAND HAVEN |
Entity Type | Organization |
Authorized Contact | RAYMOND D. SANDERS Owner 616-842-9411 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301008001) |
Enumeration Date | 2012-09-12 |
Last Update Date | 2012-09-12 |