Dykstra Chiropractic Pc | |
4072 Chicago Dr Sw, Grandville, MI 49418-1291 | |
(616) 531-6050 | |
(616) 531-6053 |
Full Name | Dykstra Chiropractic Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 4072 Chicago Dr Sw, Grandville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952507626 | NPI | - | NPPES |
144842737 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2301008861 (Michigan) | Secondary |
111N00000X | Chiropractor | 2301009329 (Michigan) | Primary |
111N00000X | Chiropractor | 2301010292 (Michigan) | Secondary |
Provider Name | Ronda L Vanderwall |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1720107915 PECOS PAC ID: 3476648999 Enrollment ID: I20070928000294 |
Mailing Address | Practice Location Address |
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Dykstra Chiropractic Pc 4072 Chicago Dr Sw, Grandville, MI 49418-1291 Ph: (616) 531-6050 | Dykstra Chiropractic Pc 4072 Chicago Dr Sw, Grandville, MI 49418-1291 Ph: (616) 531-6050 |
Dr. Daniel William Brown, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4555 Wilson Ave Sw, Grandville, MI 49418 Phone: 616-534-7503 Fax: 616-534-7573 | |
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Dr. Courtney Dena Hendon-acton, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3584 Fairlanes Ave Sw Ste C, Grandville, MI 49418 Phone: 616-608-3864 Fax: 616-608-3887 |