Healthcare Provider Details

I. General information

NPI: 1780680959
Provider Name (Legal Business Name): GREGORY KIM MCFARLAND JR. D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 03/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 E CHICAGO BLVD
TECUMSEH MI
49286-1513
US

IV. Provider business mailing address

405 E CHICAGO BLVD
TECUMSEH MI
49286-1513
US

V. Phone/Fax

Practice location:
  • Phone: 517-423-2639
  • Fax: 517-423-0639
Mailing address:
  • Phone: 517-423-2639
  • Fax: 517-423-0639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301008358
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: