| NPI | 1962650903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE JOSEPH KRETUNSKI Owner 586-773-9530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301004970) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501002214) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |