| NPI | 1699119339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE STANLEY Owner 248-476-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MI 5101008610) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI SS008515) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704268297) | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-06-17 |