DR. Ryan Koolen, D.C.

NPI #1588627657 in Portland, Michigan

Provider Information

NPI Number: 1588627657
Entity Type: Individual
Name: DR. Ryan Koolen, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Apr 10, 2006
Last Updated: Sep 7, 2012

Practice Location

Address: 9751 E GRAND RIVER AVE
City: Portland
State: Michigan
ZIP Code: 48875-9774
Phone: (517) 647-5770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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