| Great Lakes Family Chiropractic, Inc. | |
|
3138 Broadmoor Ave Se, Kentwood, MI 49512-1845 | |
| (616) 241-4040 | |
| (616) 475-6953 |
| Full Name | Great Lakes Family Chiropractic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3138 Broadmoor Ave Se, Kentwood, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811975717 | NPI | - | NPPES |
| 4754106 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2301008451 (Michigan) | Primary |
| Provider Name | Douglas Gene Mckenzie |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902928724 PECOS PAC ID: 0143235317 Enrollment ID: I20060209000194 |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Family Chiropractic, Inc. 3138 Broadmoor Ave Se, Kentwood, MI 49512-1845 Ph: (616) 241-4040 | Great Lakes Family Chiropractic, Inc. 3138 Broadmoor Ave Se, Kentwood, MI 49512-1845 Ph: (616) 241-4040 |
Dr. Franklin Andres Sampedro, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5260 Kalamazoo Ave Se, Kentwood, MI 49508 Phone: 616-827-2350 | |
Reid Meador, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5131 E Paris Ave Se, Kentwood, MI 49512 Phone: 616-940-4647 | |
Spinal Care Center Chiropractor Medicare: Medicare Enrolled Practice Location: 3138 Broadmoor Ave Se, Kentwood, MI 49512 Phone: 616-575-9105 Fax: 616-575-9107 | |
Dr. Christopher Andrew Miller, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4462 Breton Rd. Se, Kentwood, MI 49508 Phone: 616-827-2225 Fax: 616-827-2820 | |
Justine Stevens, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 935 52nd St Se, Kentwood, MI 49508 Phone: 616-531-1500 | |
Dr. George J Sloma, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3226 28th St Se, Kentwood, MI 49512 Phone: 616-575-2225 Fax: 616-575-2226 | |
Independence Health, Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5360 Eastern Ave Se, Kentwood, MI 49508 Phone: 616-427-3077 Fax: 616-323-0773 |