Individual
DR. PAUL RANDOLPH TUTHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1425 BRIDGE ST NW, SUITE # 501, GRAND RAPIDS, MI 49504-1702
(616) 866-8644
Mailing address
1425 BRIDGE NW, SUITE # 501, GRAND RAPIDS, MI 49504
(616) 884-8644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
PT002903
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2870924
—
MI
Enumeration date
06/12/2006
Last updated
04/13/2010
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