| NPI | 1124316708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON THOMAS GLEESON Chiropractor 906-226-1556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009791) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2011-07-15 |