Individual
DR. JUSTIN ALLAN VANSKYHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
415 S ELMWOOD AVE, SUITE B, TRAVERSE CITY, MI 49684-3180
(231) 922-0219
(231) 922-0224
Mailing address
415 S ELMWOOD AVE, SUITE B, TRAVERSE CITY, MI 49684-3180
(231) 922-0219
(231) 922-0224
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009140
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B81168
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/26/2007
Last updated
02/16/2011
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