Organization
GRAND RIVER CHIROPRACTIC LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA M SCHNEIDER DC (OWNER)
(517) 546-4888
Entity
Organization
Contact information
Practice address
3473 E. GRAND RIVER AVE, SUITE A, HOWELL, MI 48843
(517) 546-4888
(517) 546-5003
Mailing address
3473 E. GRAND RIVER AVE, SUITE A, HOWELL, MI 48843
(517) 546-4888
(517) 546-5003
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D77609
BLUE CROSS BLUE SHIELD
MI
05
—
3216874
—
MI
Enumeration date
08/03/2006
Last updated
06/06/2011
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