Individual ProviderMarilyn R SpanskiChiropractorChiropractic ProvidersPractice Address653 36th St SW, Wyoming, MI 49509-4004(616) 530-0085(616) 891-5105PECOS EnrollmentBased on the most recent information from CMS, provider Marilyn R Spanski does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1548384282Provider TypeIndividualFull NameSpanski, Marilyn RTitleDr.CredentialD.C.GenderFemaleSole ProprietorYesEnumeration Date3/19/2007Last Updated7/9/2007Contact InformationPractice LocationPractice Address653 36th St SW, Wyoming, MI 49509-4004Phone(616) 530-0085Fax(616) 531-5029Mailing LocationMailing Address515 North SE, Caledonia, MI 49316-9407Phone(616) 891-5105FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseMS04468MichiganProvider IdentifiersIDDescriptionIssuerID950 D1 5110DescriptionOtherIssuerBCBS PROVIDER IDMichiganIDP78485DescriptionOtherIssuerBCN PROVIDER IDMichiganID2119400DescriptionMedicaidIssuerUnlistedMichigan