GREG ROSS FOUNTAIN

Dr GREG ROSS FOUNTAIN is a male medical professional, specializing in Chiropractic. He graduated in 2010 from Palmer College Chiropractic - Davenport.

Contact

24640 TELEGRAPH RD
FLAT ROCK
MI
481349226

Tel:

GREG ROSS FOUNTAIN Information

Npi 1033492756
Pac Id 8123295912
Professional Enrollment Id I20120119000239
Last Name FOUNTAIN
First Name GREG
Middle Name ROSS
Suffix
Gender M
Credential
Medical School Name PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year 2010
Primary Specialty CHIROPRACTIC
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Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 24640 TELEGRAPH RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FLAT ROCK
State MI
Zip Code 481349226
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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