Organization
MCGREGOR CHIROPRACTIC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL MARTIN MCGREGOR D.C. (PRESIDENT)
(989) 366-4646
Entity
Organization
Contact information
Practice address
1223 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9701
(989) 366-4646
(989) 366-4647
Mailing address
1223 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9701
(989) 366-4646
(989) 366-4647
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
DM005551
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950G210180
BLUE CROSS AND BLUE SHIEL
MI
Enumeration date
01/29/2007
Last updated
01/31/2013
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