Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2301009417 | MI |
NPI | 1003082256 |
---|---|
Provider Name | Dr. Ryan Klier |
First Address | Grand Rapids, MI 49525-9316 |
Second Address | Grand Rapids, MI 49525-9316 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2008 |
Last Update Date | 07/05/2008 |