Organization
CHIROPRACTIC CARE GRAND TRAVERSE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J ZIMMER DC (OWNER)
(231) 922-0233
Entity
Organization
Contact information
Practice address
620 SECOND ST, TRAVERSE CITY, MI 49684-2272
(231) 922-0233
(231) 941-9832
Mailing address
620 SECOND ST, TRAVERSE CITY, MI 49684-2272
(231) 922-0233
(231) 941-9832
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005511
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144355184
—
MI
01
—
MZ005511
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/08/2008
Last updated
07/08/2008
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