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Organization

PAUL J. PROL, D.C.,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL JOHN PROL DC (PRESIDENT)
(616) 942-8770
Entity
Organization

Contact information

Practice address
4286 CASCADE RD SE, GRAND RAPIDS, MI 49546-8301
(616) 942-8770
(616) 942-8857
Mailing address
4286 CASCADE RD SE, GRAND RAPIDS, MI 49546-8301
(616) 942-8770
(616) 942-8857

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2301003013
MI

Other

Enumeration date
09/21/2012
Last updated
09/21/2012
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