Organization
ELITE SPORTS AND FAMILY CHIROPRACTIC, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW ALAN BROWN DC (OWNER)
(616) 245-4582
Entity
Organization
Contact information
Practice address
950 28TH ST SE, BUILDING E SUITE 204, GRAND RAPIDS, MI 49508-1300
(616) 245-4582
(616) 245-4832
Mailing address
950 28TH ST SE, BUILDING E SUITE 204, GRAND RAPIDS, MI 49508-1300
(616) 245-4582
(616) 245-4832
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008817
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144742393
—
MI
Enumeration date
12/15/2006
Last updated
10/24/2008
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