| NPI | 1457544017 |
|---|---|
| Doing Business As | HARBORSIDE SPINE & SPORTS CENTER |
| Entity Type | Organization |
| Authorized Contact | SHELLY GENSCHAW Practice Administrator 231-348-3283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 077046) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2022-09-20 |