Individual
PHILLIP MALETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2863 W SHORE DR STE 114, HOLLAND, MI 49424-9576
(616) 399-6624
Mailing address
2863 W SHORE DR STE 114, HOLLAND, MI 49424-9576
(616) 399-6624
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010295
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2301010295
LICENSE
MI
Enumeration date
02/11/2015
Last updated
07/21/2022
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