Organization
STANDALE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON J BERG DC (PHYSICIAN)
(616) 453-3404
Entity
Organization
Contact information
Practice address
4110 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49534-4527
(616) 453-3404
(616) 453-3418
Mailing address
4310 LEONARD ST NW, SUITE 103, WALKER, MI 49534-8447
(616) 453-6329
(616) 453-1725
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301009732
MI
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/08/2010
Last updated
01/28/2014
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