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Organization

SUPERIOR HEALTH AND WELLNESS PLLC

Active
Other names
Superior Health and Wellness PLLC, Superior Health and Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISTIN ANNE HIESHETTER DC (OWNER - PHYSICIAN)
(906) 291-5080
Entity
Organization

Contact information

Practice address
207 W JOHN ST, NEWBERRY, MI 49868-1126
(906) 291-5080
Mailing address
423 N. LAKE MICHIGAN RD., GULLIVER, MI 49840
(906) 291-5080
(906) 291-5081

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009094
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0P62830
MEDICARE PTAN
MI
Enumeration date
05/27/2010
Last updated
07/10/2019
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