# LYNNE CHADFIELD DO PLLC

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

## Provider details

- **NPI number:** 1770761314
- **Authorized official:** LYNNE M CHADFIELD DO (OWNER)
- **Authorized official phone:** (616) 940-2795

## Contact information

- **Practice address:** 1025 SPAULDING SE, SUITE B, GRAND RAPIDS, MI 49546-8417
- **Practice address phone:** (616) 940-2795
- **Mailing address:** PO BOX 3140, GRAND RAPIDS, MI 49501-3140
- **Mailing address phone:** (616) 459-6867
- **Mailing address fax:** (616) 591-0430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |
| 207Q00000X | Family Medicine Physician | — | NULL | — |

## Other

- **Enumeration date:** 02/06/2008
- **Last updated:** 10/20/2023
