| NPI | 1083889984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK ALAN LEE President 517-629-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MI 2301004500) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-05-07 |