Individual
DR. KELLIE J TREICHEL PERGANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
612 N EUCLID AVE, BAY CITY, MI 48706-2950
(989) 684-0018
(989) 684-0019
Mailing address
612 N EUCLID AVE, BAY CITY, MI 48706-2950
(989) 684-0018
(989) 684-0019
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008570
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-0-Z9-1124-0
BCBSM/BCN
MI
Enumeration date
08/01/2006
Last updated
02/15/2023
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