Organization
KOOISTRA CHIROPRACTIC CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C SCOTT KOOISTRA D.C. (DOCTOR OF CHIROPRACTIC)
(616) 532-2518
Entity
Organization
Contact information
Practice address
2855 BYRON CENTER AVE SW, WYOMING, MI 49519-2415
(616) 532-2518
(616) 532-2696
Mailing address
2855 BYRON CENTER AVE SW, WYOMING, MI 49519-2415
(616) 532-2518
(616) 532-2696
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1496
MI
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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