DEMETRA MYDLO DC - NPI 1962931709 - Chiropractor in Zeeland, MI

Q: What is Demetra Mydlo's NPI number?

The NPI number for Demetra Mydlo is 1962931709. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Q: What is Demetra Mydlo's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Demetra Mydlo was last updated on June 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Demetra Mydlo Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMETRA MYDLO DC (NPI 1962931709) is an individual chiropractor in Zeeland, Michigan, licensed in Michigan (2301010567) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1962931709

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDEMETRA MYDLOCredential: DC

Location Address10990 CHICAGO DRZeeland, MI 49464-8100

Mailing Address13745 Carmella Ln Apt FHolland, MI 49424-8483 · (586) 484-9666

Phone(616) 546-3500

Sole ProprietorNo

Enumeration DateJune 6, 2017

✔ NPI 1962931709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MI · 2301010567

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.

10990 CHICAGO DR, Zeeland, MI 49464

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