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Individual

DR. MICHAEL LYLE RITCHIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4502 W MARL LAKE RD, ROSCOMMON, MI 48653-9282
(989) 821-6990
(989) 821-6990
Mailing address
4502 W MARL LAKE RD, ROSCOMMON, MI 48653-9282
(989) 821-6990
(989) 821-6990

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004698
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0G21031
BCB SM
MI
05
2123260
MI
Enumeration date
05/10/2006
Last updated
10/18/2011
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