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Individual

DR. CHRISTOPHER CHARLES JETTIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
30405 W 12 MILE RD, FARMINGTON HILLS, MI 48334-3805
(864) 921-3978
(248) 474-4383
Mailing address
30405 W 12 MILE RD, FARMINGTON HILLS, MI 48334-3805
(864) 921-3978
(248) 474-4383

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009632
MI

Other

Enumeration date
12/08/2009
Last updated
12/08/2009
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