Doctor Name: | AMANDA G DLUZNIEWSKI |
NPI Number: | 1073935953 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 2301010167 |
Business Practice Address: | 4462 Breton Rd Se Kentwood, MI - 495085272 |
Business Phone Number: | 6163286652 |
Business Fax Number: | |
Mailing Address: | 837 4th St Nw, Unit 1 GRAND RAPIDS |
State: | MI |
Postal Code: | 495045130 |
Phone Number: | 3133003496 |
Fax Number: | |
NPI Enumeration Date: | 01/13/2014 |
NPI Last Update Date: | 01/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2301010167 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy 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. |