| NPI | 1699079285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE LELAND STANELY Chiropractor 248-476-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI SS008515) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2010-12-22 |