| NPI | 1225421779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA PODEIN Manager 231-759-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301002646) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301008027) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |