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Organization
WALLIS CHIROPRACTIC HEALTH CENTER PLLC
Active
Organization
WALLIS CHIROPRACTIC HEALTH CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON KEITH WALLIS D.C. (PRESIDENT)
(734) 427-3550
Entity
Organization
Contact information
Practice address
10985 MIDDLEBELT RD, LIVONIA, MI 48150-3056
(734) 427-3550
(734) 422-5567
Mailing address
10985 MIDDLEBELT RD, LIVONIA, MI 48150-3056
(734) 427-3550
(734) 422-5567
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008685
MI
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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