Organization
LEVI J PULVER DC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVI J PULVER DC (OWNER)
(616) 834-3330
Entity
Organization
Contact information
Practice address
17208 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
(616) 834-3330
(616) 935-0748
Mailing address
17208 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
(616) 834-3330
(616) 935-0748
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009059
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G01458
BCBS
MI
Enumeration date
04/29/2009
Last updated
04/29/2009
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