Organization
GRAND RAPIDS APPLIED KINESIOLOGY AND SPORTS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE PLUGER (CHIROPRACTOR)
(616) 916-4767
Entity
Organization
Contact information
Practice address
3835 28TH ST SE, STE 102, GRAND RAPIDS, MI 49512-1876
(616) 916-4767
Mailing address
3835 28TH ST SE, STE 102, GRAND RAPIDS, MI 49512-1876
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
3644880
MI
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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