Organization
HEALTHY LIVING CHIROPRACTIC CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIE SUZANNE LARISON D.C. (OWNER)
(248) 698-9141
Entity
Organization
Contact information
Practice address
10739 HIGHLAND RD, WHITE LAKE, MI 48386-2148
(248) 698-9141
(248) 779-7737
Mailing address
10739 HIGHLAND RD, WHITE LAKE, MI 48386-2148
(248) 698-9141
(248) 779-7737
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008399
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F355460
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/27/2008
Last updated
05/03/2011
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