Organization
GREAT LAKES CHIROPRACTIC & MOVEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON DALE MOREY DC (OWNER/PROVIDER)
(810) 234-5431
Entity
Organization
Contact information
Practice address
4215 MILLER RD # A8, FLINT, MI 48507-1299
(810) 234-5431
Mailing address
4215 MILLER RD # A8, FLINT, MI 48507-1299
(810) 234-5431
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2301009577
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2301009577
STATE LICENSE
MI
Enumeration date
07/18/2018
Last updated
04/16/2019
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