| NPI | 1720564149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON DALE MOREY Owner/Provider 810-234-5431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: MI 2301009577) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2019-04-16 |