Organization
GREGG CHIROPRACTIC LIFE CENTER WEST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JAMES GREGG D.C. (PRESIDENT)
(734) 261-7590
Entity
Organization
Contact information
Practice address
33779 5 MILE RD, LIVONIA, MI 48154-2850
(734) 261-7590
(734) 261-3799
Mailing address
33779 5 MILE RD, LIVONIA, MI 48154-2850
(734) 261-7590
(734) 261-3799
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4714512
—
MI
Enumeration date
12/11/2006
Last updated
08/22/2020
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