| NPI | 1104659804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH KIRSCH Owner 248-921-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |