Healthcare Provider Details

I. General information

NPI: 1710783808
Provider Name (Legal Business Name): DOUGLAS RICHARD HREN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1877 N GETTY ST
MUSKEGON MI
49445-8563
US

IV. Provider business mailing address

1877 N GETTY ST
MUSKEGON MI
49445-8563
US

V. Phone/Fax

Practice location:
  • Phone: 231-744-5200
  • Fax:
Mailing address:
  • Phone: 231-744-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301401598
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: