Individual provider · Type 1 NPI

Grant Larie, DC

Chiropractor · De Pere, WI

NPI number 1770939159 Active

Practice location

502 George St
De Pere, WI 54115-2714

Call (920) 337-0103 Map

Fax (920) 338-9066

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5174-12 (WI)

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 1770939159

Grant Larie, DC's National Provider Identifier is 1770939159, issued on May 4, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in De Pere, WI. The record was last updated on May 4, 2016.