Organization
HARLESS FAMILY CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DAVID HARLESS DC (CHIROPRACTOR)
(734) 529-8600
Entity
Organization
Contact information
Practice address
498 E. MONROE ST, DUNDEE, MI 48131-0120
(734) 529-8600
(734) 529-8620
Mailing address
498 E MONROE ST, DUNDEE, MI 48131-1321
(734) 529-8600
(734) 529-8620
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008666
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E81042
BCBS
MI
Enumeration date
04/06/2007
Last updated
11/14/2012
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