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Organization

NOVO CHIROPRACTIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSHUA P KONYNENBELT D.C., M.S. (CLINIC DIRECTOR)
(616) 259-9835
Entity
Organization

Contact information

Practice address
5570 WILSON AVE SW, STE L, WYOMING, MI 49418-8867
(616) 259-9835
Mailing address
5570 WILSON AVE SW, STE L, WYOMING, MI 49418-8867
(616) 259-9835

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301010340
MI
111N00000X
Chiropractor
Primary
2301010372
MI

Other

Enumeration date
10/14/2015
Last updated
10/14/2015
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