| NPI | 1720160963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GUETTLER Owner 248-988-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2013-02-20 |