| NPI | 1104327493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA KIRK MACK Clinic Director 517-748-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301010285) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2023-09-28 |