NPI | 1316218597 |
---|---|
Former Legal Business Name | T.J. NUGENT D.C., P.C. |
Entity Type | Organization |
Authorized Contact | T.J. NUGENT Doctor Of Chiropractic 989-835-8330 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 2301005042) |
Enumeration Date | 2012-01-20 |
Last Update Date | 2012-01-20 |