Independence Health, Pllc

NPI #1306200431 in Kentwood, Michigan

Provider Information

NPI Number: 1306200431
Entity Type: Organization
Organization Name: Independence Health, Pllc
Primary Specialty: Chiropractor
Enumeration Date: Apr 5, 2016
Last Updated: Apr 5, 2016

Practice Location

Address: 5360 EASTERN AVE SE
City: Kentwood
State: Michigan
ZIP Code: 49508-6018
Phone: (616) 427-3077

Authorized Official

Name: ROBIN NIEZGODA, DC
Title: OWNER
Phone: (616) 427-3077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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