| NPI | 1174753834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD WILLIAM EDISON Chiropractor 517-263-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI CE007123) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |