| NPI | 1891196721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J HEIB President 269-324-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: MI 6816) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |