| NPI | 1801288121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONG SONG Sole Member 248-709-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| 207R00000X Internal Medicine (Licence: MI 5101020062) | |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-07-13 |