NPI | 1568858900 |
---|---|
Doing Business As | GONSTEAD CHIROPRACTIC CENTER |
Entity Type | Organization |
Authorized Contact | MICAH WADE SWALLEY President 616-446-0755 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3925) |
Enumeration Date | 2015-04-13 |
Last Update Date | 2015-04-13 |