# CRAIG S ROCKWELL DC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750642997
- **Authorized official:** DR. CRAIG STEPHEN ROCKWELL DC (SOLE MBR)
- **Authorized official phone:** (616) 457-4511

## Contact information

- **Practice address:** 7579 MAIN ST, JENISON, MI 49428-9251
- **Practice address phone:** (616) 457-4511
- **Practice address fax:** (616) 667-1936
- **Mailing address:** 7579 MAIN ST, JENISON, MI 49428-9251
- **Mailing address phone:** (616) 457-4511
- **Mailing address fax:** (616) 667-1936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 2301004746 | MI | Yes |

## Other

- **Enumeration date:** 06/05/2012
- **Last updated:** 06/05/2012