Individual
MR. JOHN D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
609 E CENTRE AVE, PORTAGE, MI 49002-5514
(269) 329-1660
(269) 329-0821
Mailing address
609 E CENTRE, PORTAGE, MI 49002
(269) 329-1660
(269) 329-0821
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
382719395
MI
Other
Enumeration date
06/07/2006
Last updated
06/21/2012
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