| NPI | 1518734797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL A GRAY Owner 248-683-6260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| 207Q00000X Family Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-07 |