Individual
DR. MICHAEL L KWAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, CSCS
Contact information
Practice address
4150 E BELTLINE AVE NE, SUITE #3, GRAND RAPIDS, MI 49525-9715
(616) 447-9888
(616) 447-9886
Mailing address
4150 E BELTLINE AVE NE, SUITE #3, GRAND RAPIDS, MI 49525-9715
(616) 447-9888
(616) 447-9886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MK007656
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4073990
—
MI
Enumeration date
06/02/2006
Last updated
02/10/2015
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