Organization
FAMILY WELLNESS CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY JOSEPH LASICH JR. DC (OWNER)
(906) 226-9355
Entity
Organization
Contact information
Practice address
1465 W WASHINGTON ST, MARQUETTE, MI 49855-3115
(906) 226-9355
(906) 226-9412
Mailing address
1465 W WASHINGTON ST, MARQUETTE, MI 49855-3115
(906) 226-9355
(906) 226-9412
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007766
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950E210990
BCBS OF MI
MI
Enumeration date
09/15/2006
Last updated
05/23/2016
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