Mark J Brusveen, DC
Individual provider Active NPI Chiropractor · Grand Haven, MI
NPI 1922116458 · NPPES record last updated Sep 24, 2013
Key facts
- NPI
- 1922116458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301004085 (MI)
- Practice address
- 17040 Robbins Rd
Grand Haven, MI 49417 - Phone
- (616) 846-7300
- Fax
- (616) 846-2197
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Chiropractic PLLC | Chiropractor | Current |
Accepting new patients |
Locations
17040 Robbins Rd
Ste A
Grand Haven, MI 49417
Phone (616) 846-7300
17040 Robbins Rd
Grand Haven, MI 49417
Phone (616) 846-7300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301004085 | MI | Yes |
Addresses
Primary practice location
17040 Robbins Rd
Grand Haven, MI 49417
Mailing address
17040 Robbins Rd
Grand Haven, MI 49417
Phone (616) 846-7300
Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.