| NPI | 1235390162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE DEVERE SERVEN President 810-732-2210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MI 2301005078) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |