Individual
DR. RANDAL IRVING WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
935 52ND ST SE, KENTWOOD, MI 49508-6003
(616) 531-1500
(616) 531-2881
Mailing address
935 52ND ST SE, KENTWOOD, MI 49508-6003
(616) 531-1500
(616) 531-2881
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004706
MI
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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