| Pavlov Chiropractic And Wellness Llc | |
|
2847 Gratiot Blvd, Marysville, MI 48040-1497 | |
| (810) 216-6370 | |
| Not Available |
| Full Name | Pavlov Chiropractic And Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2847 Gratiot Blvd, Marysville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588159495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2301009780 (Michigan) | Primary |
| Provider Name | Travis M Grace |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124505656 PECOS PAC ID: 4789937707 Enrollment ID: I20181022001160 |
| Mailing Address | Practice Location Address |
|---|---|
| Pavlov Chiropractic And Wellness Llc 2847 Gratiot Blvd, Marysville, MI 48040-1497 Ph: (810) 216-6370 | Pavlov Chiropractic And Wellness Llc 2847 Gratiot Blvd, Marysville, MI 48040-1497 Ph: (810) 216-6370 |
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