Individual
DR. CHARLES JUSTIN AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2504 ARDMORE ST SE, GRAND RAPIDS, MI 49506-4901
(850) 218-0677
Mailing address
319 LYON ST NE APT 1, GRAND RAPIDS, MI 49503-3381
(850) 218-0677
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010831
MI
111N00000X
Chiropractor
CH12368
FL
Other
Enumeration date
10/24/2018
Last updated
11/05/2019
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