Healthcare Provider Details

I. General information

NPI: 1215936448
Provider Name (Legal Business Name): DANIEL MARVIN KULMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2503 CHARLEVOIX RD.
PETOSKEY MI
49770-8523
US

IV. Provider business mailing address

2503 CHARLEVOIX RD.
PETOSKEY MI
49770-8523
US

V. Phone/Fax

Practice location:
  • Phone: 231-347-3946
  • Fax: 231-347-1587
Mailing address:
  • Phone: 231-347-3946
  • Fax: 231-347-1587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDK007060
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: