| NPI | 1063500254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK MATHEW FOTHERINGHAM Chiropractor/ Owner 248-922-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301008671) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |