Provider Demographics
NPI:1205100435
Name:ISZLER, AMBER NICHOLE (DC)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:NICHOLE
Last Name:ISZLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10160 W GRAND RIVER HWY
Mailing Address - Street 2:
Mailing Address - City:GRAND LEDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48837-8245
Mailing Address - Country:US
Mailing Address - Phone:517-712-5058
Mailing Address - Fax:
Practice Address - Street 1:10160 W GRAND RIVER HWY
Practice Address - Street 2:
Practice Address - City:GRAND LEDGE
Practice Address - State:MI
Practice Address - Zip Code:48837-8245
Practice Address - Country:US
Practice Address - Phone:517-712-5058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009853111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor