| NPI | 1881722080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD JORGENSON Clinic Director 616-610-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301008856) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |