Organization
SOUTH LYON CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE J PENN D.C. (PRESIDENT)
(734) 306-2454
Entity
Organization
Contact information
Practice address
327 N LAFAYETTE ST, SOUTH LYON, MI 48178-4002
(734) 306-2454
Mailing address
7838 5 MILE RD, NORTHVILLE, MI 48168-9448
(734) 306-2454
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009723
MI
Other
Enumeration date
03/28/2011
Last updated
04/12/2012
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