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NPI Code Detail

MEDICARE: MIDLAND CHIROPRACTIC

MEDICARE: MIDLAND CHIROPRACTIC
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
1171100000XAcupuncturist
2111N00000XChiropractor
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1417381070
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDLAND CHIROPRACTIC
Provider Business Mailing Address
First Line : 4710 EASTMAN AVE
Second Line :
City : MIDLAND
State : MI
Zip : 48640-2606
Country : US
Telephone Number : 989-341-1070
Fax Number : 888-965-5108
Provider Business Practice Location Address
First Line : 4710 EASTMAN AVE
Second Line :
City : MIDLAND
State : MI
Zip : 48640-2606
Country : US
Telephone Number : 772-359-8108
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JEFFREY T BERARD
Credential : DC
Telephone Number : 772-359-8108
Provider Enumeration Date : 08/30/2013
Last Update Date : 03/10/2026

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Directions to “MIDLAND CHIROPRACTIC ” 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.