Organization
LAKESIDE CHIROPRACTIC CLINIC,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CEANN UNDINE BRANSON D.C. (OWNER)
(989) 687-9299
Entity
Organization
Contact information
Practice address
152 E SAGINAW RD, SUITE 7, SANFORD, MI 48657-9271
(989) 687-9299
(989) 687-6382
Mailing address
152 E SAGINAW RD, SUITE 7, SANFORD, MI 48657-9271
(989) 687-9299
(989) 687-6382
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002908
MI
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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