| NPI | 1184960064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE THIMM President 248-440-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2016-01-08 |