Organization
LIEDEL CHIROPRACTIC CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD H LIEDEL JR. (D.C.)
(734) 783-5040
Entity
Organization
Contact information
Practice address
27108 TELEGRAPH RD, FLAT ROCK, MI 48134-1659
(734) 783-5040
Mailing address
27108 TELEGRAPH RD, FLAT ROCK, MI 48134-1659
(734) 783-5040
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
2301005513
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3302328
—
MI
Enumeration date
01/07/2011
Last updated
01/07/2011
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