| NPI | 1013154012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JOSEPH GENNERO Doctor Of Chiropractic/Owner 586-215-7868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009351) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |