| NPI | 1700044104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY RUSSELL Owner/Chiropractor 231-947-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI KR007665) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |