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Individual

DR. LESLIE S MITZEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
6293 KENOWA AVE SW, GRANDVILLE, MI 49418-9405
(248) 941-2634
Mailing address
6293 KENOWA AVE SW, GRANDVILLE, MI 49418-9405

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010518
MI

Other

Enumeration date
10/30/2017
Last updated
10/30/2017
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