| NPI | 1023298965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP LANGE CHADWELL Owner Member 989-832-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301007008) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2010-10-29 |