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1001 4th Ave, Lake Odessa, MI 48849-1069 | |
(616) 755-1211 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 1001 4th Ave, Lake Odessa, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1245824036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Alexander Lebon |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1013312800 PECOS PAC ID: 9133420557 Enrollment ID: I20151209000387 |
Provider Name | Kristin K Satterly |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1649812033 PECOS PAC ID: 3577996040 Enrollment ID: I20191214000399 |
Mailing Address | Practice Location Address |
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1001 4th Ave, Lake Odessa, MI 48849-1069 Ph: () - | 1001 4th Ave, Lake Odessa, MI 48849-1069 Ph: (616) 755-1211 |
Chad Ronald Hickey, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7857 Velte Rd, Lake Odessa, MI 48849 Phone: 616-374-7880 |