NPI | 1164690806 |
---|---|
Doing Business As | FENTON FAMILY CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | RICHARD P STORK President 810-629-2757 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009378) |
Enumeration Date | 2008-02-15 |
Last Update Date | 2008-04-23 |