Organization
A FAMILY CHIROPRACTIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN C GLENN D.C. (PRESIDENT)
(574) 255-1716
Entity
Organization
Contact information
Practice address
535 LINCOLN WAY W, MISHAWAKA, IN 46544-1800
(574) 255-1716
(574) 255-5379
Mailing address
535 LINCOLN WAY W, MISHAWAKA, IN 46544-1800
(574) 255-1716
(574) 255-5379
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
51000342A
IN
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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