Organization
CASCADE CHIROPRACTIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A KLINE D.C. (PRESIDENT)
(616) 942-0081
Entity
Organization
Contact information
Practice address
6151 28TH ST SE, GRAND RAPIDS, MI 49546-6935
(616) 942-0081
(616) 942-7517
Mailing address
6151 28TH ST SE, GRAND RAPIDS, MI 49546-6935
(616) 942-0081
(616) 942-7517
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2301004272
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2117147
—
MI
Enumeration date
05/12/2008
Last updated
05/12/2008
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