Individual provider · Type 1 NPI
Tyler Gene Gunderson, DC
Chiropractor · Holland, MI
NPI number
1902567514
Active
Practice location
258 James St Unit 10
Holland, MI 49424-1806
Mailing address
13670 Carmella Ln Apt A
Holland, MI 49424-8480
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2301401220 (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 1902567514
Tyler Gene Gunderson, DC's National Provider Identifier is 1902567514, issued on Jan 5, 2022. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Holland, MI. The record was last updated on Jan 5, 2022.