Organization
BIRCH RUN CHIROPRACTIC CLINIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ROBERT TILLER D.C. (PRESIDENT)
(989) 624-6266
Entity
Organization
Contact information
Practice address
7890 MAIN, BIRCH RUN, MI 48415
(989) 624-6266
(989) 624-4407
Mailing address
PO BOX 399, BIRCH RUN, MI 48415-0399
(989) 624-6266
(989) 624-4407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005216
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2928135
—
MI
Enumeration date
08/31/2016
Last updated
01/24/2017
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