Provider Demographics
NPI:1477511343
Name:GUENTHER, MILTON JAY (DC)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:JAY
Last Name:GUENTHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6475 BELDING RD NE
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-8408
Mailing Address - Country:US
Mailing Address - Phone:616-874-1900
Mailing Address - Fax:
Practice Address - Street 1:6475 BELDING RD NE
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-8408
Practice Address - Country:US
Practice Address - Phone:616-874-1900
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI008763111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor