| NPI | 1508008814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH DALE ROSE President 231-348-1995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MI 4301064558) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |