Individual
DR. KEVIN LAWRENCE BOUDREAU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
116 N 9TH ST, SUITE A, GLADSTONE, MI 49837-1645
(906) 428-9640
(906) 428-9641
Mailing address
116 N 9TH ST, SUITE A, GLADSTONE, MI 49837-1645
(906) 428-9640
(906) 428-9641
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008810
MI
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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