Individual
DR. ADAM MICHAEL FOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
314 120TH AVE, HOLLAND, MI 49424-3313
(616) 399-2255
(616) 399-2256
Mailing address
314 120TH AVE, HOLLAND, MI 49424-3313
(616) 399-2255
(616) 399-2256
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008352
MI
Other
Enumeration date
11/01/2006
Last updated
07/25/2007
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