| NPI | 1770179210 |
|---|---|
| Former Legal Business Name | PRO-ACTIVE CHIROPRACTIC & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KENNETH MURKOWSKI President 248-625-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2021-05-26 |