GREAT LAKES CHIROPRACTIC, P.C.
Anesthesiologist Assistant at Metropolitan Pkwy, St Heights, MI

License number
Michigan 2301007508
Category
Chiropractic
Type
Orthopedic
Owner
Name: DR. JOHN G. BLOODWORTH D.C.
Title: PRESIDENT
Phone: (586) 939-1003
Address
Address
4105 Metropolitan Pkwy SUITE 101, St Heights, MI 48310
National Provider ID: 1902045685
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GREAT LAKES CHIROPRACTIC, PC

St Heights, MI

Registration:
Mar 2, 1999
Addresses:
4105 Metropolitan Pkwy STE 101, Sterling Heights, MI 48310 (Physical)
Michigan (Mailing)
State ID:
07759A
Business type:
Domestic Professional Service Corporation
Agent:
John G Bloodworth

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