person
Mr. Marvin Michael Vantiem JR., DC
Chiropractor in Monticello, Indiana
NPI 1144398991

Marvin Michael Vantiem JR. is a Chiropractor based in Monticello, IN. Marvin Michael Vantiem JR. practices in Monticello, IN and has the professional credentials of DC. The NPI Number for Marvin Michael Vantiem JR. is 1144398991 and holds a License No. 586 (Indiana).

The current practice location address for Marvin Michael Vantiem JR. is 920 W Broadway, Monticello, IN and can be reached out via phone at 574-583-5811 and via fax at 574-583-0949.

Location: 920 W Broadway, Monticello, IN, 47960
person
Provider Profile Details
NPI Number
1144398991
Provider Name
Marvin Michael Vantiem JR.
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
920 W Broadway, Monticello, IN, 47960
Phone Number
574-583-5811
Fax Number
574-583-0949
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000184607 01 BCBS
institution
Provider Business Practice Location Address Details
Address
920 W Broadway
City
State
Zip
47960
Phone Number
574-583-5811
Fax Number
574-583-0949
person
Provider Business Mailing Address Details
Address
920 W Broadway
City
State
Zip
47960
Phone Number
574-583-5811
Fax Number
574-583-0949
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
586 (Indiana)
Definition
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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