| NPI | 1740320530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TIMOTHY HANSELMAN Owner 586-286-3815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009255) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |