Organization
GRANITE RUN CHIROPRACTIC LTD
Active
Other names
Chiro Plus
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L FULLER DC (OWNER)
(717) 656-5422
Entity
Organization
Contact information
Practice address
93A W MAIN ST, LEOLA, PA 17540-1803
(717) 656-5422
(717) 656-5403
Mailing address
93A W MAIN ST, LEOLA, PA 17540-1803
(717) 656-5422
(717) 656-5403
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
08/22/2020
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