| NPI | 1770314619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MCFADDEN Owner 586-206-1463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |