| NPI | 1225576358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ASHTON HETTERSCHEIDT Owner 734-780-4558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 0007569) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |