| NPI | 1710593769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BRUNER Owner/Medical Director 248-385-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |