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NPI Code Detail

MEDICARE: SCHROEDER CHIROPRACTIC LLC

MEDICARE: SCHROEDER CHIROPRACTIC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2301010351MI

General Provider Information

NPI Number : 1053773630
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCHROEDER CHIROPRACTIC LLC
Provider Business Mailing Address
First Line : 84 E LAKEWOOD BLVD
Second Line :
City : HOLLAND
State : MI
Zip : 49424-2000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 84 E LAKEWOOD BLVD
Second Line :
City : HOLLAND
State : MI
Zip : 49424-2000
Country : US
Telephone Number : 616-392-2166
Fax Number : 616-396-0589
Authorized Official
Title or Position : OWNER
Name : DR. KIMBERLY NICHOLE SCHROEDER
Credential : D.C.
Telephone Number : 313-516-7814
Provider Enumeration Date : 03/23/2016
Last Update Date : 03/23/2016

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Directions to “SCHROEDER CHIROPRACTIC LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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