Individual
JAMES RYAN DIETRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
14321 NORTHLAND DR, STE 1, BIG RAPIDS, MI 49307-2310
(231) 629-8833
(231) 629-8834
Mailing address
14321 NORTHLAND DR, STE 1, BIG RAPIDS, MI 49307-2310
(616) 916-6753
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301010554
MI
111N00000X
Chiropractor
5702
OR
111NS0005X
Sports Physician Chiropractor
Primary
2301010554
MI
Other
Enumeration date
03/10/2016
Last updated
07/09/2019
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