| NPI | 1568870103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY JAMES MATTAR Chiropractor 586-286-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301004691) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |