Individual
JACOB WALTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14930 LAPLAISANCE RD, STE 116, MONROE, MI 48161-3871
(734) 242-4422
Mailing address
14930 LAPLAISANCE RD, STE 116, MONROE, MI 48161-3871
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010642
MI
Other
Enumeration date
08/01/2018
Last updated
11/12/2020
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