Individual
DEVAN ROBERT MARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
120 N EVANS ST, TECUMSEH, MI 49286-1555
(517) 815-1555
(517) 815-1553
Mailing address
120 N EVANS ST, TECUMSEH, MI 49286-1555
(517) 815-1555
(517) 815-1553
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301011101
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2301011101
LARA
MI
Enumeration date
05/19/2021
Last updated
09/04/2024
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