Organization
GREEN LAKE CHIROPRACTIC & NUTRITIONAL HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN POLENZ DC (PRESIDENT)
(206) 523-0121
Entity
Organization
Contact information
Practice address
1408 N 80TH ST, SEATTLE, WA 98103-4421
(206) 523-0121
(206) 523-0341
Mailing address
1408 N 80TH ST, SEATTLE, WA 98103-4421
(206) 523-0121
(206) 523-0341
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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