Organization
GREAT LAKES CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G. BLOODWORTH D.C. (PRESIDENT)
(586) 939-1003
Entity
Organization
Contact information
Practice address
4105 METROPOLITAN PKWY, SUITE 101, STERLING HEIGHTS, MI 48310-7503
(586) 939-1003
(586) 939-3862
Mailing address
4105 METROPOLITAN PKWY, SUITE 101, STERLING HEIGHTS, MI 48310-7503
(586) 939-1003
(586) 939-3862
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2301007508
MI
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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