Individual
CASSIDY ELAINE WALRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3876 22 MILE RD, HOMER, MI 49245-9647
(872) 230-1678
Mailing address
3876 22 MILE RD, HOMER, MI 49245-9647
(872) 230-1678
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038.012237
IL
111N00000X
Chiropractor
Primary
2301010900
MI
Other
Enumeration date
06/21/2012
Last updated
03/14/2022
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