| NPI | 1003017310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN ELIZABETH BEALS Member 734-213-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI 5101012614) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2023-01-14 |