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Organization

TRAVERSE CITY CHIROPRACTIC LIFE CENTER, INC

Active
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Organization

TRAVERSE CITY CHIROPRACTIC LIFE CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD T MURPHY D.C. (PRESIDENT)
(231) 946-3780
Entity
Organization

Contact information

Practice address
2449 GARFIELD RD N, TRAVERSE CITY, MI 49686-5129
(231) 946-3780
Mailing address
2449 GARFIELD RD N, TRAVERSE CITY, MI 49686-5129
(231) 946-3780

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008081
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4792312
—
MI
01
—
950B811450
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/17/2007
Last updated
01/29/2013
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