Individual
DR. JUSTIN NICHOLAS FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3396 I 75 BUSINESS SPUR, UNIT D, SAULT SAINTE MARIE, MI 49783-3629
(906) 484-1034
(906) 484-1064
Mailing address
3396 I 75 BUSINESS SPUR, UNIT D, SAULT SAINTE MARIE, MI 49783-3629
(906) 484-1034
(906) 484-1064
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009700
MI
Other
Enumeration date
01/26/2011
Last updated
01/08/2019
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