person
Grant Larie, DC
Chiropractor in De Pere, Wisconsin
NPI 1770939159

Grant Larie is a Chiropractor based in De Pere, WI. Grant Larie practices in De Pere, WI and has the professional credentials of DC. The NPI Number for Grant Larie is 1770939159 and holds a License No. 5174-12 (Wisconsin).

The current practice location address for Grant Larie is 502 George St, De Pere, WI and can be reached out via phone at 920-337-0103 and via fax at 920-338-9066. You can also correspond with Grant Larie through the mailing address at 502 GEORGE ST, DE PERE, WI - 54115-2714 (mailing address contact number: 920-337-0103).

Location: 502 George St, De Pere, WI, 54115-2714
person
Provider Profile Details
NPI Number
1770939159
Provider Name
Grant Larie
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
502 George St, De Pere, WI, 54115-2714
Phone Number
920-337-0103
Fax Number
920-338-9066
Provider Enumeration Date
05/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
502 George St
City
State
Zip
54115-2714
Phone Number
920-337-0103
Fax Number
920-338-9066
person
Provider Business Mailing Address Details
Address
502 George St
City
State
Zip
54115-2714
Phone Number
920-337-0103
Fax Number
920-338-9066
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
5174-12 (Wisconsin)
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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