Individual provider · Type 1 NPI
Tyler Jeffrey Vanderwal, DC
Chiropractor · Caledonia, MI
NPI number
1669972188
Active
Practice location
649 Emmons St SE
Caledonia, MI 49316-8316
Fax (616) 891-8153
Mailing address
2061 Ridgecrest Rd SE Apt 6
Grand Rapids, MI 49546-4373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2301010630 (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.
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About NPI 1669972188
Tyler Jeffrey Vanderwal, DC's National Provider Identifier is 1669972188, issued on Feb 21, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Caledonia, MI. The record was last updated on Feb 21, 2018.