| NPI | 1164620167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM RUSSELL FASICK Chiropractor 517-376-6836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI AF008301) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2023-10-18 |