| NPI | 1043752629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN JWAD Owner 248-885-1581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301010442) |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |