| NPI | 1598030728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LEE ROBERTS Owner 734-282-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner |
| 111NP0017X Chiropractor, Pediatric Chiropractor | |
| 111NR0200X Chiropractor, Radiology | |
| 111NR0400X Chiropractor, Rehabilitation | |
| 111NS0005X Chiropractor, Sports Physician | |
| 111NX0100X Chiropractor, Occupational Health | |
| 111NX0800X Chiropractor, Orthopedic | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |