| NPI | 1376934075 |
|---|---|
| Doing Business As | PROACTIVE CHIROPRACTIC GROUP |
| Entity Type | Organization |
| Authorized Contact | PHILLIP MALETTA Manager 616-399-6624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301010295) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2022-07-21 |