Individual
DR. GRADY MICHAEL STIMITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1845 LINE AVE, SHREVEPORT, LA 71101-4611
(318) 429-9494
(318) 429-9492
Mailing address
1845 LINE AVE, SHREVEPORT, LA 71101-4611
(318) 429-9494
(318) 429-9492
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
—
LA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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