| NPI | 1316608912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIZABETH G VAN DUYN CEO 616-217-6342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-05 |