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Organization

MID-MICHIGAN SPORT & SPINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRETT T ALLEN (OWNER)
(517) 253-8123
Entity
Organization

Contact information

Practice address
3303 W SAGINAW ST, SUITE A14, LANSING, MI 48917-2303
(517) 253-8123
(517) 253-8124
Mailing address
3303 W SAGINAW ST, SUITE A14, LANSING, MI 48917-2303
(517) 253-8123
(517) 253-8124

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009983
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1497988455
NPI
MI
Enumeration date
02/11/2014
Last updated
02/11/2014
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