| NPI | 1164698130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GERARD PETERSON President 248-449-4757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301006979) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |