| NPI | 1366945800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL P CAVANAUGH Owner/Provider 906-201-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301010483) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |