| NPI | 1881873651 |
|---|---|
| Doing Business As | ABC BACK & NECK CARE OF WATERFORD |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J SUSZKO President 810-750-0222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111NR0200X Chiropractor, Radiology (Licence: MI 2301007718) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |