Organization
GRAND RAPIDS WELLNESS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ROGER DEVRIES DC (CHIROPRACTOR/ OWNER)
(616) 233-0960
Entity
Organization
Contact information
Practice address
435 CHERRY ST SE, SUITE B, GRAND RAPIDS, MI 49503-4672
(616) 233-0960
(180) 087-1118
Mailing address
435 CHERRY ST SE, SUITE B, GRAND RAPIDS, MI 49503-4672
(616) 233-0960
(180) 087-1118
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009796
MI
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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