Organization
LAKE MICHIGAN WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JAMES STECK DC (OWNER)
(616) 399-2984
Entity
Organization
Contact information
Practice address
513 E 8TH ST, SUITE 12, HOLLAND, MI 49423-3765
(616) 494-0204
Mailing address
4230 ELIZABETH AVE, HOLLAND, MI 49424-5616
(616) 399-2984
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008711
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950G011540
BCBS
MI
Enumeration date
02/08/2011
Last updated
02/08/2011
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