Individual
PHILLIP LANGE CHADWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5103 EASTMAN AVE, STE 140, MIDLAND, MI 48640-6785
(989) 832-3066
(989) 486-3842
Mailing address
5103 EASTMAN AVE, STE 140, MIDLAND, MI 48640-6724
(989) 423-1275
(989) 423-1247
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
PC007008
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3083544
—
MI
01
—
950E60108
BCBSM
MI
Enumeration date
09/24/2007
Last updated
04/27/2018
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