Advantage Chiropractic PC

NPI #1275702383 in Grand Rapids, Michigan

Provider Information

NPI Number: 1275702383
Entity Type: Organization
Organization Name: Advantage Chiropractic PC
Primary Specialty: Chiropractor
Enumeration Date: Feb 22, 2008
Last Updated: Feb 22, 2008

Practice Location

Address: 1100 4 MILE RD NW
City: Grand Rapids
State: Michigan
ZIP Code: 49544-7397
Phone: (616) 301-2225

Authorized Official

Name: DR. JASON DAVID DETTWILER, D.C.
Title: PRESIDENT
Phone: (616) 301-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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