Suydam Chiropractic and Nutritional Wellness PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2301010348 Issued in MI

Legal business name

SUYDAM CHIROPRACTIC AND NUTRITIONAL WELLNESS PLLC

Practice address

1149 Sand Creek Hwy
Suite B
Adrian, MI 49221-1288

Phone

(517) 577-6047

Fax

(517) 577-6037

NPI assigned

Feb 12, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tayler Suydam, D.C

Title

Owner

Phone

(517) 410-2840

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1134588551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 SAND CREEK HWY",
            "address_2": "SUITE B",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211288",
            "telephone_number": "517-577-6047",
            "fax_number": "517-577-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 SAND CREEK HWY",
            "address_2": "SUITE B",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211288",
            "telephone_number": "517-577-6047",
            "fax_number": "517-577-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUYDAM CHIROPRACTIC AND NUTRITIONAL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "SUYDAM",
        "authorized_official_first_name": "TAYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-410-2840",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "2301010348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collin Stump, DPT
• Morgan Stutz, DPT
• Sudha Bansal MD PC
• Aaron Suganuma, LLMSW
• Tyler Sullivan
• Tayler Suydam, D.C
• Leanne Marie Svoboda
• SVS Vision Inc
• James Russel Sweigart, M.A.
• Kelly Ann Swett, LPC

• Primary Care Clinic/Center in Adrian, MI
• Providers in Adrian, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.