| NPI | 1386032357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY OLSON Owner 248-513-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2023-08-22 |