| Aamodt Chiropractic Clinic Pc | |
|
1805 44th St Se, Grand Rapids, MI 49508-5005 | |
| (616) 455-4200 | |
| (616) 455-4201 |
| Full Name | Aamodt Chiropractic Clinic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1805 44th St Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457781171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 004756 (Michigan) | Primary |
| Provider Name | Wayne Garth Aamodt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710975370 PECOS PAC ID: 9537309208 Enrollment ID: I20130702000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Aamodt Chiropractic Clinic Pc 1805 44th St Se, Grand Rapids, MI 49508-5005 Ph: (616) 455-4200 | Aamodt Chiropractic Clinic Pc 1805 44th St Se, Grand Rapids, MI 49508-5005 Ph: (616) 455-4200 |
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