| NPI | 1871777235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON A STANCZAK Owner 586-774-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MI 2301009010) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |