NPI | 1831586023 |
---|---|
Doing Business As | C. RICHARD SPATES, PH.D., PC |
Entity Type | Organization |
Authorized Contact | CHARLES RICHARD SPATES President 269-599-6869 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: MI 6301002505) |
Enumeration Date | 2015-04-25 |
Last Update Date | 2015-04-25 |