Individual
DR. RUDOLPH GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLC
Contact information
Practice address
1152 BURTON ST SE, GRAND RAPIDS, MI 49507-3359
(616) 475-7830
Mailing address
1152 BURTON SE, GRAND RAPIDS, MI 49507
(616) 475-7830
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
23010005627
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2301005627
STATE LICENSE
MI
Enumeration date
04/18/2007
Last updated
07/08/2007
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