Organization
ADVANTAGE CHIROPRACTIC PC
Active
Other names
DC Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON DAVID DETTWILER D.C. (PRESIDENT)
(616) 301-2225
Entity
Organization
Contact information
Practice address
1100 4 MILE RD NW, GRAND RAPIDS, MI 49544-7397
(616) 301-2225
Mailing address
1100 4 MILE RD NW, GRAND RAPIDS, MI 49544-7397
(616) 301-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009340
MI
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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