| NPI | 1922301274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON J BERG Physician 616-453-3404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301009732) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2014-01-28 |