Organization · Type 2 NPI

Obsidian Chiropractic, LLC

Clinic/Center · Grand Rapids, MI

NPI number 1154967651 Active

Practice location

2504 Ardmore St SE Ste 102
Grand Rapids, MI 49506-4901

Mailing address

319 Lyon St NE Apt 1
Grand Rapids, MI 49503-3381

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1154967651

Obsidian Chiropractic, LLC's National Provider Identifier is 1154967651, issued on Nov 20, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 20, 2019.