Individual
DR. JAMES DEWITT IDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
404 ROUNDS DR, FENTON, MI 48430-1724
(317) 774-2998
(317) 774-3130
Mailing address
404 ROUNDS DR, FENTON, MI 48430-1724
(810) 618-6380
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002572A
IN
Other
Enumeration date
04/15/2011
Last updated
01/04/2021
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