Individual
DR. JACK KENNARD MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12900 S US HIGHWAY 27 STE 1A, DEWITT, MI 48820-8340
(517) 668-6750
Mailing address
12812 ONTONAGON DR, DEWITT, MI 48820-8676
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009326
MI
111NS0005X
Sports Physician Chiropractor
2301009326
MI
Other
Enumeration date
03/02/2007
Last updated
06/07/2022
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