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MR. MILTON DOUGLAS LYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
8827 PORTAGE RD, PORTAGE, MI 49002
(269) 324-1449
(269) 323-2970
Mailing address
8827 PORTAGE RD, PORTAGE, MI 49002
(269) 324-1449
(269) 323-2970

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007246
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
950C950320
BCBS
MI
Enumeration date
07/14/2006
Last updated
01/13/2015
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