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Individual

DR. PATRICK RAYMOND ECKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
125 W MICHIGAN AVE, GRASS LAKE, MI 49240-9188
(517) 522-8315
(517) 522-5493
Mailing address
PO BOX 141, GRASS LAKE, MI 49240-0141
(517) 522-8315
(517) 522-5493

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005921
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
950 C 811540
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/21/2007
Last updated
08/21/2007
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