Individual
DR. DAVID RUSSELL IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
515 S BEACON BLVD, GRAND HAVEN, MI 49417-1996
(616) 846-5330
Mailing address
515 S BEACON BLVD, GRAND HAVEN, MI 49417-1996
(616) 846-5330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DI005855
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-0-G0-5377
BLUE SHIELD
MI
Enumeration date
02/02/2007
Last updated
07/08/2007
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