Organization
GRAND BLANC SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WILLIAM MORNINGSTAR D.C (OWNER)
(810) 694-3576
Entity
Organization
Contact information
Practice address
10683 S SAGINAW ST, SUITE B, GRAND BLANC, MI 48439-8127
(810) 694-3576
(810) 694-9544
Mailing address
10683 S SAGINAW ST, SUITE B, GRAND BLANC, MI 48439-8127
(810) 694-3576
(810) 694-9544
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MM008587
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4446888
—
MI
Enumeration date
07/19/2007
Last updated
12/10/2014
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