Organization
KEYSTONE CHIROPRACTIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICAH W SWALLEY D.C. (PRESIDENT)
(616) 447-4444
Entity
Organization
Contact information
Practice address
4829 E BELTLINE AVE NE, SUITE 304, GRAND RAPIDS, MI 49525-9747
(616) 447-4444
(616) 447-4040
Mailing address
4829 E BELTLINE AVE NE, SUITE 304, GRAND RAPIDS, MI 49525-9747
(616) 447-4444
(616) 447-4040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010007
MI
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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