| NPI | 1861206153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN GLAZER COO 248-353-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |