| NPI | 1326198417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE LEE BAILEY Billing Coordinator 616-913-8852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301005823) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2019-12-18 |