Provider Demographics
NPI:1780680959
Name:MCFARLAND, GREGORY KIM JR (DC)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:KIM
Last Name:MCFARLAND
Suffix:JR
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 1:405 E CHICAGO BLVD
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:MI
Mailing Address - Zip Code:49286-1513
Mailing Address - Country:US
Mailing Address - Phone:517-423-2639
Mailing Address - Fax:517-423-0639
Practice Address - Street 1:405 E CHICAGO BLVD
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:MI
Practice Address - Zip Code:49286-1513
Practice Address - Country:US
Practice Address - Phone:517-423-2639
Practice Address - Fax:517-423-0639
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008358111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI95-0D60101-0OtherBLUE CROSS INDIVIDUAL
MIU86696Medicare UPIN
MI95-0D60101-0OtherBLUE CROSS INDIVIDUAL