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Individual

DR. LEWIS G SQUIRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
414 W US HIGHWAY 10, SCOTTVILLE, MI 49454-9274
(231) 757-3356
(231) 757-4640
Mailing address
PO BOX 296, SCOTTVILLE, MI 49454-0296
(231) 757-3356
(231) 757-4640

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
LS002869
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1661077
MI
Enumeration date
09/08/2005
Last updated
10/10/2011
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