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Dr. Ray Christian Van De Walker, DC
Chiropractor in Portage, Michigan
NPI 1477515443

Ray Christian Van De Walker is a Chiropractor based in Portage, MI. Ray Christian Van De Walker practices in Portage, MI and has the professional credentials of DC. The NPI Number for Ray Christian Van De Walker is 1477515443 and holds a License No. 2301008479 (Michigan).

The current practice location address for Ray Christian Van De Walker is 1112 E Centre Ave, Portage, MI and can be reached out via phone at 269-978-3000 and via fax at 269-978-3001.

Location: 1112 E Centre Ave, Portage, MI, 49002-5575
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477515443
Provider Name
Ray Christian Van De Walker
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1112 E Centre Ave, Portage, MI, 49002-5575
Phone Number
269-978-3000
Fax Number
269-978-3001
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
950C95062 01 MI BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1112 E Centre Ave
City
Portage
State
Michigan
Zip
49002-5575
Phone Number
269-978-3000
Fax Number
269-978-3001
person
Provider Business Mailing Address Details
Address
1112 E Centre Ave
City
Portage
State
Michigan
Zip
49002-5575
Phone Number
269-978-3000
Fax Number
269-978-3001
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2301008479 (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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