American Chiropractic Center Pc | |
738 32nd St Se, Grand Rapids, MI 49548-2329 | |
(616) 243-1444 | |
(616) 243-2434 |
Full Name | American Chiropractic Center Pc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 738 32nd 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 |
---|---|---|---|
1376713347 | NPI | - | NPPES |
0P57110 | Other | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2301009355 (Michigan) | Primary |
Provider Name | Warner De Leeuw |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1932385838 PECOS PAC ID: 6305916636 Enrollment ID: I20080529000465 |
Mailing Address | Practice Location Address |
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American Chiropractic Center Pc 738 32nd St Se, Grand Rapids, MI 49548-2329 Ph: (616) 243-1444 | American Chiropractic Center Pc 738 32nd St Se, Grand Rapids, MI 49548-2329 Ph: (616) 243-1444 |
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