| NPI | 1790900744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN MELLON Physician,Owner,President 906-774-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301004916) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2009-05-29 |