Provider Demographics
NPI:1871904474
Name:KUHLMAN, GARRETT JOHN-OTTO (DC)
Entity type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:JOHN-OTTO
Last Name:KUHLMAN
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 1:2810 CHARLEVOIX RD STE 101
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-8421
Mailing Address - Country:US
Mailing Address - Phone:231-881-9280
Mailing Address - Fax:231-881-9288
Practice Address - Street 1:2810 CHARLEVOIX RD STE 101
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-8421
Practice Address - Country:US
Practice Address - Phone:231-881-9280
Practice Address - Fax:231-881-9288
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-16
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI230101078111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor