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Organization

GREAT LAKES INJURY RECOVERY

Active
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Organization

GREAT LAKES INJURY RECOVERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYON S BOSSCHER DC (OWNER)
(616) 450-9662
Entity
Organization

Contact information

Practice address
4662 60TH ST SW, WYOMING, MI 49418-9718
(616) 450-9662
Mailing address
4662 60TH ST SW, WYOMING, MI 49418-9718

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
208100000X
Physical Medicine & Rehabilitation Physician
225100000X
Physical Therapist
225700000X
Massage Therapist
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
07/17/2026
Last updated
07/27/2026
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