Lake Michigan Chiropractic, Pllc | |
4082 Red Arrow Hwy., Saint Joseph, MI 49085-9431 | |
(269) 408-8736 | |
(269) 408-8790 |
Full Name | Lake Michigan Chiropractic, Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 4082 Red Arrow Hwy., Saint Joseph, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144504010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | KK2301009038 (Michigan) | Primary |
Provider Name | Kraig Alan Kirkdorfer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1922017672 PECOS PAC ID: 9537176672 Enrollment ID: I20060314000408 |
Mailing Address | Practice Location Address |
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Lake Michigan Chiropractic, Pllc 4082 Red Arrow Hwy., Saint Joseph, MI 49085-9431 Ph: (269) 408-8736 | Lake Michigan Chiropractic, Pllc 4082 Red Arrow Hwy., Saint Joseph, MI 49085-9431 Ph: (269) 408-8736 |
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