Michael R Petchauer, D.C. Valid NPI
Individual provider · Chiropractor · Holland, MI
- NPI
- 1639193444
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 4873 (MI)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-07-26
- Last updated
- 2012-01-09
Practice location
671 Douglas Ave
Holland, MI 49424-2783
(616) 394-0112