Organization
IRELAND CHIROPRACTIC, P. C.
Active
Other names
Grand Haven Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RUSSELL IRELAND DC (PRESIDENT)
(616) 846-5330
Entity
Organization
Contact information
Practice address
515 S BEACON BLVD, GRAND HAVEN, MI 49417-1996
(616) 846-5330
Mailing address
515 S BEACON BLVD, GRAND HAVEN, MI 49417-1996
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DI005855
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950G013480
BLUE CROSS
MI
Enumeration date
02/02/2007
Last updated
07/14/2008
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