Organization
FANTASTIC HEALTH CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TZUCHIANG FAN D.C. (CHIROPRACTOR)
(231) 755-5400
Entity
Organization
Contact information
Practice address
947 W BROADWAY AVE, MUSKEGON, MI 49441-3586
(231) 755-5400
(231) 755-5418
Mailing address
947 W BROADWAY AVE, MUSKEGON, MI 49441-3586
(231) 755-5400
(231) 755-5418
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F11202
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/07/2007
Last updated
07/21/2022
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