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Organization

LIVING WELL CHIROPRACTIC CENTER PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHLEEN ANNE DEROSA BELMONT DC (PRESIDENT)
(616) 957-9100
Entity
Organization

Contact information

Practice address
1801 BRETON ROAD, STE A, GRAND RAPIDS, MI 49506-4807
(616) 957-9100
(616) 957-9111
Mailing address
1801 BRETON ROAD, STE A, GRAND RAPIDS, MI 49506-4807
(616) 957-9100
(616) 957-9111

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009268
MD

Other

Enumeration date
09/12/2007
Last updated
10/15/2007
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