NPI | 1023594223 |
---|---|
Entity Type | Organization |
Authorized Contact | HAILEY HAUGEN Co Owner 586-991-1505 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 230101659) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301010456) |
Enumeration Date | 2018-07-11 |
Last Update Date | 2021-04-19 |