Organization
SPORTS & FAMILY CHIROPRACTIC CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A. GLEASON DC (OWNER)
(603) 890-3486
Entity
Organization
Contact information
Practice address
31 LOWELL RD, SUITE 5, WINDHAM, NH 03087-1857
(603) 890-3486
(603) 890-6234
Mailing address
31 LOWELL RD, SUITE 5, WINDHAM, NH 03087-1857
(603) 890-3486
(603) 890-6234
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
074-0491
NH
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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