| NPI | 1144595802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ALAN BUTZIN Part Owner 586-268-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI JM005363) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI JB008115) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |