| NPI | 1396141982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PHILIP GAVRON Sole Member 248-669-1109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301010239) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2016-02-10 |