| NPI | 1942226659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JAMES DONATHAN Chairman Of The Board 734-283-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: MI 2301007586) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: MI 2301008033) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2015-11-05 |