Individual
DR. LISA KONYNENBELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5570 WILSON AVE SW, STE L, WYOMING, MI 49418-8867
(616) 566-0882
Mailing address
5570 WILSON AVE SW STE MN, WYOMING, MI 49418-8867
(616) 259-9835
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010340
MI
Other
Enumeration date
10/06/2015
Last updated
01/26/2021
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