Organization
A CHIRO-EFFECT CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY E WIEDERHOLD DC (OWNER/ OPERATOR)
(269) 327-4813
Entity
Organization
Contact information
Practice address
7117 S WESTNEDGE AVE STE 3, PORTAGE, MI 49002-4201
(269) 327-4813
Mailing address
7117 S WESTNEDGE AVE STE 3, PORTAGE, MI 49002-4201
(269) 327-4813
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009586
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386876944
TYPE I NPI
MI
Enumeration date
11/30/2010
Last updated
11/30/2010
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