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Charles Scott Kooistra, DC
Chiropractor in Wyoming, Michigan
NPI 1417943036

Charles Scott Kooistra is a Chiropractor based in Wyoming, MI. Charles Scott Kooistra practices in Wyoming, MI and has the professional credentials of DC. The NPI Number for Charles Scott Kooistra is 1417943036 and holds a License No. CK002664 (Michigan).

The current practice location address for Charles Scott Kooistra is 2855 Byron Center Ave Sw, Wyoming, MI and can be reached out via phone at 616-532-2518 and via fax at 616-532-2696.

Location: 2855 Byron Center Ave Sw, Wyoming, MI, 49519-2415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417943036
Provider Name
Charles Scott Kooistra
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2855 Byron Center Ave Sw, Wyoming, MI, 49519-2415
Phone Number
616-532-2518
Fax Number
616-532-2696
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
950D150810 01 BCBS
institution
Provider Business Practice Location Address Details
Address
2855 Byron Center Ave Sw
City
Wyoming
State
Michigan
Zip
49519-2415
Phone Number
616-532-2518
Fax Number
616-532-2696
person
Provider Business Mailing Address Details
Address
2855 Byron Center Ave Sw
City
Wyoming
State
Michigan
Zip
49519-2415
Phone Number
616-532-2518
Fax Number
616-532-2696
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CK002664 (Michigan)
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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