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Individual

DR. DOUGLAS CHIDESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3427 FARR RD, FRUITPORT, MI 49415-8854
(231) 865-6545
Mailing address
3427 FARR RD, FRUITPORT, MI 49415-8854
(231) 865-6545

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301401532
MI

Other

Enumeration date
07/22/2024
Last updated
07/22/2024
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