| Clyde Park Chiropractic, P.c. | |
|
4315 Clyde Park Ave Sw, Wyoming, MI 49509-4101 | |
| (616) 532-4500 | |
| (616) 532-7344 |
| Full Name | Clyde Park Chiropractic, P.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4315 Clyde Park Ave Sw, Wyoming, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811140858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2301008725 (Michigan) | Primary |
| Provider Name | Mary E Gladish |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497782155 PECOS PAC ID: 1658270574 Enrollment ID: I20040108000616 |
| Mailing Address | Practice Location Address |
|---|---|
| Clyde Park Chiropractic, P.c. 4315 Clyde Park Ave Sw, Wyoming, MI 49509-4101 Ph: (616) 532-4500 | Clyde Park Chiropractic, P.c. 4315 Clyde Park Ave Sw, Wyoming, MI 49509-4101 Ph: (616) 532-4500 |
Danielle Sinclair, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 4020 Del Mar Dr Sw, Ste 100, Wyoming, MI 49418 Phone: 616-214-3111 Fax: 616-730-4052 | |
Dr. John Duwayne Deyo, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1027 Gezon Pkwy Sw, Wyoming, MI 49509 Phone: 616-301-8300 | |
Gillis Family Chiropractic Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 5675 Burlingame Ave., Suite A, Wyoming, MI 49509 Phone: 616-538-2200 Fax: 616-301-0419 | |
Dr. Steven Joseph Griffith, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5570 Wilson Ave Sw Ste Mn, Wyoming, MI 49418 Phone: 616-259-9835 | |
Dr. Mark D. Wolfman, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 4020 Del Mar Dr Sw, Ste 100, Wyoming, MI 49418 Phone: 616-214-3111 | |
Dr. Lisa Konynenbelt, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5570 Wilson Ave Sw, Ste L, Wyoming, MI 49418 Phone: 616-566-0882 | |
Dr. Zachary Austin Vanderweide, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2855 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-532-2518 |