| NPI | 1902045685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G. BLOODWORTH President 586-939-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: MI 2301007508) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |