Organization
GULL LAKE CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS M OSTROWSKI D.C. (OWNER)
(269) 629-5090
Entity
Organization
Contact information
Practice address
9363 E D AVE, RICHLAND, MI 49083-9497
(269) 629-5090
(269) 629-5085
Mailing address
9363 E D AVE, RICHLAND, MI 49083-9497
(269) 629-5090
(269) 629-5085
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144729785
—
MI
Enumeration date
09/19/2012
Last updated
09/18/2013
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