Organization
LAKESHORE CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOHN ESTEFAN D.C. (PRESIDENT)
(616) 301-1702
Entity
Organization
Contact information
Practice address
1838 BALDWIN ST, JENISON, MI 49428-8901
(616) 301-1702
(616) 301-1708
Mailing address
1838 BALDWIN ST, JENISON, MI 49428-8901
(616) 301-1702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007774
MI
Other
Enumeration date
04/21/2010
Last updated
01/10/2013
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