Individual
DR. RYAN KOOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9751 E GRAND RIVER AVE, PORTLAND, MI 48875-9774
(517) 647-5770
(517) 647-5773
Mailing address
9751 E GRAND RIVER AVE, PO BOX 367, PORTLAND, MI 48875-9774
(517) 647-5770
(517) 647-5773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007736
MI
Other
Enumeration date
04/10/2006
Last updated
09/07/2012
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