MEDICARE: HEALING HANDS FAMILY CHIROPRACTIC,P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302F00000X	Exclusive Provider Organization	SS007777	MI

General Provider Information

NPI Number	:	1316295140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HANDS FAMILY CHIROPRACTIC,P.C.

Provider Business Mailing Address
First Line	:	2318 U.S. HWY 41 SOUTH
Second Line	:
City	:	MARQUETTE
State	:	MI
Zip	:	49855
Country	:	US
Telephone Number	:	906-249-5630
Fax Number	:	906-249-5631

Provider Business Practice Location Address
First Line	:	2318 US HIGHWAY 41 S
Second Line	:
City	:	MARQUETTE
State	:	MI
Zip	:	49855-9122
Country	:	US
Telephone Number	:	906-249-5630
Fax Number	:	906-249-5631

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEVEN GARFIELD SANDERSON
Credential	:	D.C.
Telephone Number	:	906-249-5630

Provider Enumeration Date	:	08/28/2012
Last Update Date	:	09/13/2012

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