| NPI | 1396209409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE LEE Owner 248-433-6977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-08-21 |