Organization
COOPERSVILLE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SUSAN IRELAND D.C. (OWNER/OPERATOR)
(313) 218-1938
Entity
Organization
Contact information
Practice address
25 68TH AVE N, SUITE J, COOPERSVILLE, MI 49404-9223
(616) 997-1938
Mailing address
25 68TH AVE N, SUITE J, COOPERSVILLE, MI 49404-9223
(616) 997-1938
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009825
MI
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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