Organization
LEELANAU FAMILY CHIROPRACTIC INC
Active
Other names
Leelanau Family Chiropractors
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE GENNA PARENT D.C. (OWNER)
(231) 256-2500
Entity
Organization
Contact information
Practice address
208 W MAIN ST, LAKE LEELANAU, MI 49653-5104
(231) 256-2500
(231) 256-2575
Mailing address
PO BOX 224, LAKE LEELANAU, MI 49653-0224
(231) 256-2500
(231) 256-2575
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004944
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D55002
MEDICARE IDENTIFICATION NUMBER
MI
Enumeration date
04/14/2009
Last updated
04/14/2009
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