Organization
BRIAN L ROSCOE, DC, LLC
Active
Other names
Roscoe Chiropractic Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN L ROSCOE DC (OWNER)
(616) 847-1444
Entity
Organization
Contact information
Practice address
727 WASHINGTON AVE, GRAND HAVEN, MI 49417-1458
(616) 847-1444
(616) 847-1711
Mailing address
727 WASHINGTON AVE, GRAND HAVEN, MI 49417-1458
(616) 847-1444
(616) 847-1711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005392
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G01069
BLUE CROSS
—
Enumeration date
02/04/2008
Last updated
02/04/2008
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