| NPI | 1033152723 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | WILLIAM STACEY COOK Clinic Director 586-731-7730 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI WC004717) | 
| Enumeration Date | 2006-06-13 | 
| Last Update Date | 2012-03-30 |