Organization
COMMUNITY CHIROPRACTIC HEALTH CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL ALLAN LEBLANC D.C. (DOCTOR/OWNER)
(231) 256-7877
Entity
Organization
Contact information
Practice address
489 W MAIN ST, LAKE LEELANAU, MI 49653-9740
(231) 256-7877
(231) 256-9529
Mailing address
PO BOX 232, 489 W MAIN ST, LAKE LEELANAU, MI 49653-0232
(231) 256-7877
(231) 256-9529
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006832
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2694706
—
MI
Enumeration date
06/11/2012
Last updated
06/11/2012
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