Organization
ALPINE CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLIE A PUROLL (OWNER)
(989) 732-3035
Entity
Organization
Contact information
Practice address
529 S. WISCONSIN AVE, GAYLORD, MI 49735
(989) 732-3035
(989) 732-7925
Mailing address
529 S. WISCONSIN AVE, GAYLORD, MI 49735
(989) 732-3035
(989) 732-7925
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3216669
—
MI
01
—
OF97605
BLUE CROSS
MI
Enumeration date
09/06/2007
Last updated
09/06/2007
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