Grand Rapids Pain Free Clinic INC

NPI #1265771448 in Grand Rapids, Michigan

Provider Information

NPI Number: 1265771448
Entity Type: Organization
Organization Name: Grand Rapids Pain Free Clinic INC
Primary Specialty: Chiropractor
Enumeration Date: Feb 7, 2013
Last Updated: Feb 7, 2013

Practice Location

Address: 831 FULLER AVE NE
City: Grand Rapids
State: Michigan
ZIP Code: 49503-1901
Phone: (616) 458-8063

Authorized Official

Name: MARK RADOM
Title: PRESIDENT
Phone: (616) 458-8063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Physical Medicine & Rehabilitation	208100000X
Chiropractor	111N00000X	Primary

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