Healthcare Provider Details

I. General information

NPI: 1104993856
Provider Name (Legal Business Name): DENNIS A MURVICH D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 04/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 W. U.S. 2
NORWAY MI
49870
US

IV. Provider business mailing address

415 W. U.S. 2 P.O. BOX 143
NORWAY MI
49870
US

V. Phone/Fax

Practice location:
  • Phone: 906-563-5871
  • Fax: 906-563-5969
Mailing address:
  • Phone: 906-563-5871
  • Fax: 906-563-5969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDM007809
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: