Individual provider · Type 1 NPI

Charles Michael Lietz, DC

Chiropractor · Grandville, MI

NPI number 1568682201 Active

Practice location

3584 Fairlanes Ave SW
Grandville, MI 49418-1583

Fax (616) 530-8320

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XL761039 (MI)

Chiropractor: 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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About NPI 1568682201

Charles Michael Lietz, DC's National Provider Identifier is 1568682201, issued on Apr 26, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Grandville, MI. The record was last updated on Jul 8, 2007.