| NPI | 1083246052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RELANDA PRICE Lead Enrollment Coordinator 517-884-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2023-01-23 |