Organization
FULL POTENTIAL CHIROPRACTIC, PC
Active
Other names
House Family Chiropractic, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD ANGELO HOUSE II D.C. (PRESIDENT)
(269) 792-9952
Entity
Organization
Contact information
Practice address
135 E SUPERIOR ST, WAYLAND, MI 49348-1137
(269) 792-9952
(269) 792-6459
Mailing address
135 E SUPERIOR ST, WAYLAND, MI 49348-1137
(269) 792-9952
(269) 792-6459
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007970
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14-4473043
—
MI
Enumeration date
10/15/2007
Last updated
11/19/2018
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