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Organization
GRAND RAPIDS APPLIED KINESIOLOGY AND SPORTS CHIROPRACTIC
Active
Organization
GRAND RAPIDS APPLIED KINESIOLOGY AND SPORTS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE PLUGER (CHIROPRACTOR)
(616) 916-4767
Entity
Organization
Contact information
Practice address
3835 28TH ST SE, STE 102, GRAND RAPIDS, MI 49512-1876
(616) 916-4767
Mailing address
3835 28TH ST SE, STE 102, GRAND RAPIDS, MI 49512-1876
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
3644880
MI
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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