| NPI | 1760731285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE J TREICHEL PERGANDE Owner 989-684-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301008570) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301009970) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2023-02-15 |