| NPI | 1952507626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA LYNN VANDERWALL Doctor Of Chiropractic 616-531-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009329) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301008861) |
| 111N00000X Chiropractor (Licence: MI 2301010292) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2017-05-08 |