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Individual

DR. GREG ROSS FOUNTAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
24640 TELEGRAPH RD, FLAT ROCK, MI 48134-9226
(734) 652-7259
Mailing address
24640 TELEGRAPH RD, FLAT ROCK, MI 48134-9226

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009847
MI

Other

Enumeration date
09/20/2011
Last updated
02/02/2024
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