Zachary Austin Vanderweide (NPI# 1063970473, PAC ID# 9830423177) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1063970473 |
| PAC ID by PECOS | 9830423177 |
| Professional Enrollment ID | I20190620001612 |
| Full Name | Zachary Austin Vanderweide |
| Organization Legal Name | KOOISTRA CHIROPRACTIC CLINIC PLLC |
| Address |
2855 Byron Ctr Ave Sw Wyoming MI 49519-2415 |
| Phone Number | 6165322518 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2019 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 0042472672 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1680 E Paris Ave, Grand Rapids, MI 49546-8809 | 6165322518 | KOOISTRA CHIROPRACTIC CLINIC PLLC |
| 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 | 6165322518 | KOOISTRA CHIROPRACTIC CLINIC PLLC |
| Organization Legal Name | KOOISTRA CHIROPRACTIC CLINIC PLLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlynn Kristine Rosier | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Jared L Kooistra | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Arnold Mark Koldenhoven Jr. | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Charles Scott Kooistra | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Street Address |
2855 BYRON CTR AVE SW |
| City | WYOMING |
| State | MI |
| Zip | 49519-2415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlynn Kristine Rosier | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Jared L Kooistra | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Arnold Mark Koldenhoven Jr. | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Charles Scott Kooistra | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda S Bruinsma | Chiropractic | 3555 Byron Ctr Ave, Wyoming, MI 49519-3259 | |
| Bradley D Conrad | Chiropractic | 3651 Byron Ctr Ave Sw, Wyoming, MI 49519-3665 | |
| Tamara Brown | Clinical Social Worker | Portal Point Counseling LLC | 2663 44th Sw, Suite 106, Wyoming, MI 49519-4189 |
| Ashley K Yancho | Clinical Social Worker | 2663 44th St Sw, Suite 106, Wyoming, MI 49519-4189 | |
| Rachel Vanbuskirk | Clinical Social Worker | Portal Point Counseling LLC | 2663 44th Sw, Suite 106, Wyoming, MI 49519-4189 |
| Michael R Halliday | Chiropractic | 4415 Byron Ctr Ave Sw, Wyoming, MI 49519-4800 | |
| Robert A Hohendorf | Optometry | West Michigan Vision Specialists | 4467 Byron Ctr Ave Sw A, Wyoming, MI 49519-4808 |
| Lynnette G Burgess | Optometry | West Michigan Vision Specialists | 4467 Byron Ctr Ave Sw A, Wyoming, MI 49519-4808 |
| Nam H Vu | Chiropractic | 5102 Byron Ctr Sw Ave B, Wyoming, MI 49519-4851 | |
| Angela L Dotson | Clinical Social Worker | 1843 Rw Berends Dr Sw, Grand Rapids, MI 49519-4955 | |
| Find all physicians in zip 49519 | |||
| City | WYOMING |
| Zip Code | 49519 |
| Specialty | CHIROPRACTIC |
| City + Specialty | WYOMING + CHIROPRACTIC |
Please comment or provide details below to improve the information on Zachary Austin Vanderweide.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.