Individual
TIMOTHY GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
206 W MAIN ST, IONIA, MI 48846-1617
(616) 523-6697
(616) 523-6698
Mailing address
206 W MAIN ST, IONIA, MI 48846-1617
(616) 523-6697
(616) 523-6698
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010333
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20160212358398
—
MI
Enumeration date
12/18/2015
Last updated
10/13/2022
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