| NPI | 1326345885 |
|---|---|
| Doing Business As | PARK STREET CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | GEOFFREY CHAU Sole Member LLC 269-385-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301008481) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |