| NPI | 1306997945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LAFAYETTE DALLAS Director Owner 517-882-0251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301005663) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2009-03-17 |