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Individual

ERIKA SEGRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2321 E BELTLINE AVE NE STE D, GRAND RAPIDS, MI 49525-9803
(616) 206-4294
Mailing address
2321 E BELTLINE AVE NE STE D, GRAND RAPIDS, MI 49525-9803

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010863
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2301010863
MI
Enumeration date
02/09/2020
Last updated
02/09/2020
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