Individual
JACOB ALAN CANFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
831 FULLER AVE NE, GRAND RAPIDS, MI 49503-1901
(616) 458-8063
Mailing address
831 FULLER AVE NE, GRAND RAPIDS, MI 49503-1901
(616) 458-8063
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009717
MI
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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