| NPI | 1184964876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ALVIN CLARK Owner 248-471-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor |
| 111NR0200X Chiropractor, Radiology | |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2013-03-01 |