| NPI | 1942495965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANNE DEROSA BELMONT President 616-957-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 2301009268) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-10-15 |