Individual
DR. BRIAN JACOB WOLTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7579 MAIN STREET, JENISON, MI 49428
(616) 457-4511
(616) 667-1936
Mailing address
7579 MAIN STREET, JENISON, MI 49428
(616) 457-4511
(616) 667-1936
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010407
MI
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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