GRANT LARIE

DE PERE, WI
NPI1770939159
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: WI  5174-12)
Enumeration Date2016-05-04
Last Update Date2016-05-04
Business Address
-- GRANT LARIE D.C.
502 GEORGE ST
DE PERE, WI 54115-2714
Phone number: 920-337-0103
Mailing Address
-- GRANT LARIE D.C.
502 GEORGE ST
DE PERE, WI 54115-2714
Phone number: 920-337-0103