| NPI | 1245243419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERA HAMO ANDERSON Member 810-238-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 008899) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 008894) |
| 111NN1001X Chiropractor, Nutrition (Licence: MI 008894) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: MI 008899) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-04-20 |