| NPI | 1407262660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SOPHIA BAISE-BERGERON Owner 248-943-8290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301008419) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |