Organization
INNATE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN KEFFER DC (PRESIDENT/CHIROPRACTOR)
(616) 295-5699
Entity
Organization
Contact information
Practice address
6735 CASCADE RD SE, SUITE 200, GRAND RAPIDS, MI 49546-6887
(616) 295-5699
Mailing address
45 BENJAMIN AVE NE, GRAND RAPIDS, MI 49503-3775
Taxonomy
Speciality
Code
Description
License number
State
111NT0100X
Thermography Chiropractor
Primary
2301010075
MI
Other
Enumeration date
04/10/2013
Last updated
08/04/2013
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