| NPI | 1629124326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL ALAN LOGAN Owner 586-751-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI BL005438) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI CS008620) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2017-11-28 |