| NPI | 1457177743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RAMAR Owner 248-710-3236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| 2083S0010X Preventive Medicine, Sports Medicine | |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |