| NPI | 1568591063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ANTHONY COSTANTINO President 586-443-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301005635) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2012-02-03 |