| NPI | 1467623413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY RICHARD KOTCHOUNIAN Manger 810-793-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301005901) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2009-12-09 |