| NPI | 1831683317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI KEHRES Insurance Coordinator 517-243-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009633) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2020-02-18 |