Organization
COMPLETE HEALTH CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D WALLACE D.C. (PRESIDENT)
(517) 622-2273
Entity
Organization
Contact information
Practice address
820 CHARLEVOIX DR, SUITE 210, GRAND LEDGE, MI 48837-7100
(517) 622-2273
(517) 622-2223
Mailing address
820 CHARLEVOIX DR, SUITE 210, GRAND LEDGE, MI 48837-7100
(517) 622-2273
(517) 622-2223
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008560
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5230756
—
MI
Enumeration date
06/18/2008
Last updated
06/18/2008
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