Organization
MIDWEST CHIROPRACTIC AND REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN KETCHUM DC (OWNER/CHIROPRACTOR)
(269) 492-8795
Entity
Organization
Contact information
Practice address
24285 RED ARROW HWY STE A, MATTAWAN, MI 49071-7700
(269) 492-8795
Mailing address
24285 RED ARROW HWY STE A, MATTAWAN, MI 49071-7700
(269) 399-4690
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
04/14/2022
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