| NPI | 1598003717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GERARD VANGESSEL Provider 616-363-7713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301005052) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301009813) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |