| NPI | 1265979314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ANTHONY SELVAGGI Sole Member 313-605-0973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301010532) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |