| NPI | 1295179026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT RONALD JETTIE Chiropractor 248-477-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009794) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |