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Individual

COREY J GRINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2325 MARYLAND RD, SUITE 200, WILLOW GROVE, PA 19090-1749
(215) 657-9393
(215) 657-9398
Mailing address
2325 MARYLAND RD, SUITE 200, WILLOW GROVE, PA 19090-1749
(215) 657-9393
(215) 657-9398

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007659L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0784811000
AMERIHEALTH
PA
01
1038611
ASHN
PA
01
1726279
AETNA HMO
PA
01
7310472
AETNA PPO/POS
PA
01
811029
FIRST PRIORITY
PA
Enumeration date
04/26/2006
Last updated
03/18/2008
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