| NPI | 1265788509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PHINNEY Owner/Operator 616-255-3956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009924) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2017-02-03 |