| NPI | 1073512786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI LORENCEN STOCKWELL Owner 231-933-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301007022) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2010-10-07 |