Organization
GRASS LAKE CHIROPRACTIC CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL NELSON MIKEL D.C. (D.C)
(517) 522-8315
Entity
Organization
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
2301009352
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950C812990
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/24/2008
Last updated
10/20/2008
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