Organization
DANIEL J THOMAS DC
Active
Other names
Lakeside Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JAMES THOMAS DC (OWNER)
(231) 536-2616
Entity
Organization
Contact information
Practice address
101 BRIDGE ST, EAST JORDAN, MI 49727-9301
(231) 536-2616
Mailing address
101 BRIDGE ST, PO BOX 602, EAST JORDAN, MI 49727-9301
(231) 536-2616
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004661
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609934
—
MI
Enumeration date
04/24/2014
Last updated
04/24/2014
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