Individual
DR. BENJAMIN FREDRICK LUCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6504 28TH ST SE, SUITE H, GRAND RAPIDS, MI 49546-6959
(989) 390-5799
(616) 228-8778
Mailing address
6504 28TH ST SE SUITE H, GRAND RAPIDS, MI 49546-6929
(616) 202-7991
(616) 228-8778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010031
MI
Other
Enumeration date
10/09/2012
Last updated
02/05/2016
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