# GOLAN INTEGRATED PHYSICAL MEDICINE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GOLAN INTEGRATED PHYSICAL MEDICINE
- **Other names:** Advanced Spine and Posture
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316419260
- **Legal business name:** GOLAN INTEGRATED PHYSICAL MEDICINE
- **Authorized official:** DAVID R GOLAN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (702) 419-5379

## Contact information

- **Practice address:** 3097 29TH ST SE, GRAND RAPIDS, MI 49512-1726
- **Practice address phone:** (616) 741-2232
- **Practice address fax:** (877) 866-2053
- **Mailing address:** PO BOX 561564, DENVER, CO 80256-1564
- **Mailing address phone:** (702) 202-1850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |

## Other

- **Enumeration date:** 12/17/2018
- **Last updated:** 04/25/2022