Organization
NORTHSIDE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA MCIVER (OFFICE MANAGER)
(616) 951-1635
Entity
Organization
Contact information
Practice address
2221 PLAINFIELD AVE NE STE 109, GRAND RAPIDS, MI 49505-4215
(616) 951-1635
Mailing address
2221 PLAINFIELD AVE NE STE 109, GRAND RAPIDS, MI 49505-4215
(616) 951-1635
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
MI
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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