Great Lakes Functional Neurology | |
5136 Cascade Rd Se Ste 1d, Grand Rapids, MI 49546-3728 | |
(810) 310-1207 | |
Not Available |
Full Name | Great Lakes Functional Neurology |
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Type | Facility |
Speciality | Chiropractor - Neurology |
Location | 5136 Cascade Rd Se Ste 1d, 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 |
---|---|---|---|
1295445799 | NPI | - | NPPES |
1063876837 | Other | MI | NPI |
1699139279 | Other | MI | NPI |
Taxonomy | Type | License (State) | Status |
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111NN0400X | Chiropractor - Neurology | (* (Not Available)) | Primary |
Provider Name | Christopher Michael Sass |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1063876837 PECOS PAC ID: 0840583597 Enrollment ID: I20230606002287 |
Mailing Address | Practice Location Address |
---|---|
Great Lakes Functional Neurology 5136 Cascade Rd Se Ste 1d, Grand Rapids, MI 49546-3728 Ph: (181) 031-0120 | Great Lakes Functional Neurology 5136 Cascade Rd Se Ste 1d, Grand Rapids, MI 49546-3728 Ph: (810) 310-1207 |
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