Individual provider · Type 1 NPI
Brandon J. Berg, DC
Chiropractor · Grand Rapids, MI
NPI number
1407165657
Active
Practice location
4110 Lake Michigan Dr NW
Grand Rapids, MI 49534-4527
Fax (616) 453-3418
Mailing address
4310 Leonard St NW, Suite 103
Walker, MI 49534-8447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2301009732 (MI) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3 other providers at this address
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About NPI 1407165657
Brandon J. Berg, DC's National Provider Identifier is 1407165657, issued on Oct 5, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 30, 2014.