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Organization

AAMODT CHIROPRACTIC CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WAYNE GARTH AAMODT D.C. (OWNER)
(616) 455-4200
Entity
Organization

Contact information

Practice address
1805 44TH ST SE, GRAND RAPIDS, MI 49508-5005
(616) 455-4200
(616) 455-4201
Mailing address
1805 44TH ST SE, GRAND RAPIDS, MI 49508-5005
(616) 455-4200
(616) 455-4201

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004756
MI

Other

Enumeration date
11/15/2013
Last updated
11/15/2013
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