| NPI | 1356517585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID N GRIMSHAW Owner 517-492-4818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI 009715) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| 207Q00000X Family Medicine (Licence: MI 009715) | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2023-07-10 |