| NPI | 1851556799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MARK PASSALACQUA Sole Proprietor,Owner 248-879-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301005374) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |