DR. TYLER JEFFREY VANDERWAL (NPI# 1669972188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669972188 |
| Entity Type | Individual |
| Full Name | DR. TYLER JEFFREY VANDERWAL |
| Credential | DC |
| Practice Address |
649 Emmons St Se Caledonia MI 49316-8316 |
| Mailing Address |
2061 Ridgecrest Rd Se Apt 6 Grand Rapids MI 49546-4373 |
| Practice Telephone | 6168918153 |
| Practice Fax Number | 6168918153 |
| Mailing Telephone | 6163507313 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301010630 | MI | Chiropractic Providers |
| Street Address |
649 EMMONS ST SE |
| City | CALEDONIA |
| State | MI |
| Zip Code | 49316-8316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407326036 | Daina Elizabeth Graves | Occupational Therapist | 10560 Whispering Waters Ln Se, Caledonia, MI 49316 | 2018-11-27 |
| 1033619135 | Spectrum Health Primary Care Partners | Physical Therapist | 6201 68th St Se, Caledonia, MI 49316 | 2018-02-15 |
| 1538672035 | Justin Michael Keely | Student in an Organized Health Care Education/Training Program | 8441 Sunnyview Rd., Caledonia, MI 49316 | 2017-11-07 |
| 1457614521 | Rahaf Halimeh | Dentist | 3625 Riverbed Lane Se, #3, Caledonia, MI 49316 | 2012-06-22 |
| 1487913158 | Adam Zachary Mitchell | Family Medicine | 9090 S Rodgers Ct Se Ste A, Caledonia, MI 49316 | 2012-05-15 |
| 1841588522 | Oday Ali Kasim | Pharmacist | 9375 Cherry Valley Ave., Caledonia, MI 49316 | 2011-07-15 |
| 1417183344 | Allison Leigh Ford | Physical Therapist | 10047 Cross Road Ct. Se, Suite 150, Caledonia, MI 49316 | 2009-06-05 |
| 1336351741 | Paula Delorm | Physical Therapist | 6595 Gracepoint Dr. Se, Caledonia, MI 49316 | 2007-05-06 |
| 1366532798 | Wayne D Westbrook | Dentist | 3125 68th St Se, Dutton, MI 49316 | 2006-10-14 |
| 1629184056 | Patricia Brunck Cassell | Social Worker | 9090 Sourth Rodgers Court Se, Caledonia, MI 49316 | 2006-08-21 |
| Find all providers in zip 49316 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771589 | Restoration Chiropractic, Pllc | Chiropractor | 6825 Hanna Lake Ave Se, Caledonia, MI 49316-9118 | 2018-12-07 |
| 1821318056 | Geoffrey Joseph Mell | Chiropractor | 101 S Kingston St, Caledonia, MN 55921-1315 | 2010-06-10 |
| 1053558031 | Maria A Chichester | Chiropractor | 9090 S Rodgers Ct Se Ste E, Caledonia, MI 49316-8052 | 2009-01-14 |
| 1871779421 | Amy M. Kooyers | Chiropractor | 7199 Kalamazoo Ave Se, Suite 234, Caledonia, MI 49316-7341 | 2008-01-14 |
| 1710179221 | Kristin Ann Buege | Chiropractor | 210 E Adams St, Caledonia, MN 55921-1417 | 2007-08-17 |
| 1760501191 | Milton Joseph Schoeberl | Chiropractor | 114 N Sunset Blvd, Caledonia, MN 55921 | 2007-03-28 |
| 1619041027 | Bernard James Krenzke | Chiropractor | 102 E Grove St, Caledonia, MN 55921 | 2006-11-17 |
| 1336174267 | James John Fink | Chiropractor | 103 N. Ramsey, Suite 3, Caledonia, MN 55921 | 2006-07-11 |
| 1174598338 | Timothy J. Burkhart | Chiropractor | 7101 Broadmoor Ave Se, Caledonia, MI 49316-9510 | 2006-02-21 |
| 1740271204 | Scott A Newquist | Chiropractor | 8980 N Rodgers Ct Se, Caledonia, MI 49316-8051 | 2005-11-03 |
| Find all providers in CALEDONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.