NPI | 1104889153 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN ROBERT TARNOW President 269-381-8200 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 006927 Chiropractor) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2007-11-21 |