Individual
DR. GRANT BURDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1425 EAGLE RIDGE DR, SCHERERVILLE, IN 46375-1386
(219) 322-6942
Mailing address
1425 EAGLE RIDGE DR, SCHERERVILLE, IN 46375-1386
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
84002956A
IN
Other
Enumeration date
02/07/2017
Last updated
07/10/2017
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