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Organization

CRAIG J. DYKGRAAF D.C., P.C.

Active
Other names
Plainfield Chiropractic Office
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CRAIG JAMES DYKGRAAF I D.C. (DOCTOR/OWNER)
(616) 363-7771
Entity
Organization

Contact information

Practice address
1715 4 MILE RD NE, GRAND RAPIDS, MI 49525-2440
(616) 363-7771
(616) 363-5794
Mailing address
1715 4 MILE RD NE, GRAND RAPIDS, MI 49525-2440
(616) 363-7771
(616) 363-5794

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CD002275
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350046640
RR MEDICARE
MI
01
950D150730
BCBS
MI
01
CD002275
BCN
MI
Enumeration date
04/04/2008
Last updated
04/04/2008
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