Individual
DR. KEVIN ANDREW MANSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5060 CASCADE RD SE, GRAND RAPIDS, MI 49546-3808
(616) 940-4647
Mailing address
3924 KEARNEY DR NE, GRAND RAPIDS, MI 49525-1821
(616) 780-5070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010781
MI
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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