Organization
CRYSTAL CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY JAY LOEWEN JR. D.C. (PRESIDENT)
(906) 875-3215
Entity
Organization
Contact information
Practice address
1374 COMMERCIAL AVE, SUITE 3, CRYSTAL FALLS, MI 49920-1085
(906) 875-3215
(906) 874-3215
Mailing address
1374 COMMERCIAL AVE, SUITE 3, CRYSTAL FALLS, MI 49920-1085
(906) 875-3215
(906) 874-3215
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008438
MI
Other
Enumeration date
06/11/2007
Last updated
09/19/2007
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