| NPI | 1295445799 |
|---|---|
| Doing Business As | GREAT LAKES FUNCTIONAL NEUROLOGY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SASS Owner 810-310-1207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology |
| Enumeration Date | 2022-11-25 |
| Last Update Date | 2023-05-20 |