Organization
DYNAMIC ESSENCE CHIROPRACTIC CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FISHER (OWNER/DC)
(616) 591-3925
Entity
Organization
Contact information
Practice address
1324 LAKE DR SE STE 1, GRAND RAPIDS, MI 49506-1673
(616) 591-3925
Mailing address
1324 LAKE DR SE STE 1, GRAND RAPIDS, MI 49506-1673
(989) 573-1170
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010564
MI
Other
Enumeration date
07/26/2017
Last updated
08/09/2019
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