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Organization

CHARLES LIETZ ACTION AK CHIROPRACTIC CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES MICHAEL LIETZ D.C. (OWNER)
(616) 530-3333
Entity
Organization

Contact information

Practice address
3584 FAIRLANES AVE SW, GRANDVILLE, MI 49418-1583
(616) 530-3333
(616) 608-3803
Mailing address
3584 FAIRLANES AVE SW, GRANDVILLE, MI 49418-1583
(616) 530-3333
(616) 608-3803

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004973
MI

Other

Enumeration date
07/18/2011
Last updated
07/18/2011
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