Individual
GERALD B KOOISTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2855 BYRON CENTER AVE SW, WYOMING, MI 49519-2415
(616) 532-2518
(616) 532-2696
Mailing address
2855 BYRON CENTER AVE SW, WYOMING, MI 49519-2415
(616) 532-2518
(616) 532-2696
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
GK001962
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005146
—
MI
01
—
950D150290
BCBS
—
Enumeration date
09/20/2005
Last updated
09/11/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us