Healthcare Provider Details

I. General information

NPI: 1871904474
Provider Name (Legal Business Name): GARRETT JOHN-OTTO KUHLMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 02/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 CHARLEVOIX RD STE 101
PETOSKEY MI
49770-8421
US

IV. Provider business mailing address

2810 CHARLEVOIX RD STE 101
PETOSKEY MI
49770-8421
US

V. Phone/Fax

Practice location:
  • Phone: 231-881-9280
  • Fax: 231-881-9288
Mailing address:
  • Phone: 231-881-9280
  • Fax: 231-881-9288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number230101078
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: