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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.

Location: 502 George St, De Pere, WI, 54115-2714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
De Pere
State
Wisconsin
Zip
54115-2714
Phone Number
920-337-0103
Fax Number
920-338-9066
person
Provider Business Mailing Address Details
Address
502 George St
City
De Pere
State
Wisconsin
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
111N00000X
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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