Freedom Chiropractic | |
11255 1st Ave Nw Ste B, Grand Rapids, MI 49534-3381 | |
(616) 214-7782 | |
Not Available |
Full Name | Freedom Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 11255 1st Ave Nw Ste B, 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 |
---|---|---|---|
1124498662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2301010308 (Michigan) | Primary |
Provider Name | Daniel Seiter |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1497125934 PECOS PAC ID: 8325358591 Enrollment ID: I20151030002030 |
Mailing Address | Practice Location Address |
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Freedom Chiropractic 11255 1st Ave Nw Ste B, Grand Rapids, MI 49534-3381 Ph: (616) 214-7782 | Freedom Chiropractic 11255 1st Ave Nw Ste B, Grand Rapids, MI 49534-3381 Ph: (616) 214-7782 |
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