Organization
LIETZ CHIROPRACTIC AND APPLIED KINESIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MICHAEL LIETZ D.C. (SOLE MEMBER)
(616) 530-3333
Entity
Organization
Contact information
Practice address
3550 FAIRLANES AVE SW, SUITE B, GRANDVILLE, MI 49418-1572
(616) 530-3333
(616) 608-3803
Mailing address
3550 FAIRLANES AVE SW, SUITE B, GRANDVILLE, MI 49418-1572
(616) 530-3333
(616) 608-3803
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
L2083320
MI
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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