Organization
DE LEEUW CHIROPRACTIC CENTER PC
Active
Other names
American Chiropractic Center PC
Organization subpart
No
Provider details
NPI number
Authorized official
WARNER DE LEEUW DC (CHIROPRACTOR/OWNER)
(616) 453-4437
Entity
Organization
Contact information
Practice address
738 32ND ST SE, GRAND RAPIDS, MI 49548-2329
(616) 243-1444
(616) 243-2434
Mailing address
081 LAKE MICHIGAN DRIVE, NW, GRAND RAPIDS, MI 49534-8722
(616) 453-4437
(616) 453-4308
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004568
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950D151090
BCBS
MI
Enumeration date
07/19/2006
Last updated
09/05/2014
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