| NPI | 1194102350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY DENNIS COPPLE Doctor Of Chiropractic 313-585-1517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI 2301010254) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-08-03 |