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Dr. Mark Charles Grant
Chiropractor in La Porte, Indiana
NPI 1477730141

Mark Charles Grant is a Chiropractor based in La Porte, IN. Mark Charles Grant practices in La Porte, IN. The NPI Number for Mark Charles Grant is 1477730141 and holds a License No. 08001545 (Indiana).

The current practice location address for Mark Charles Grant is 451 Pine Lake Ave, La Porte, IN and can be reached out via phone at 219-362-3766.

Location: 451 Pine Lake Ave, La Porte, IN, 46350-2314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477730141
Provider Name
Mark Charles Grant
Credential
Provider Entity Type
Individual
Gender
Male
Address
451 Pine Lake Ave, La Porte, IN, 46350-2314
Phone Number
219-362-3766
Fax Number
Provider Enumeration Date
01/24/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
451 Pine Lake Ave
City
La Porte
State
Indiana
Zip
46350-2314
Phone Number
219-362-3766
Fax Number
person
Provider Business Mailing Address Details
Address
451 Pine Lake Ave
City
La Porte
State
Indiana
Zip
46350-2314
Phone Number
219-362-3766
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
08001545 (Indiana)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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