Organization
STRUCTURE AND FUNCTION CHIROPRACTIC AND REHAB PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD JAY FUNK D.C. (MEMBER/OWNER)
(517) 320-2591
Entity
Organization
Contact information
Practice address
310 W FRONT ST, STE 310B, TRAVERSE CITY, MI 49684-2279
(517) 320-2591
Mailing address
310 W FRONT ST, SUITE 310B, TRAVERSE CITY, MI 49684-2279
(517) 320-2591
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010258
MI
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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