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General NPI Number Information
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NPI Number | 1962323360
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Entity Type | Organization
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Legal Business Name | WALTMAN FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 4286 CASCADE RD SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-8301
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Country | US
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Telephone | 248-259-1153
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Fax |
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Provider Business Mailing Address
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Address Line | 4286 CASCADE RD SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-8301
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. JONATHAN WALTMAN
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Credential | DC
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Telephone | 248-259-1153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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