NPI | 1982856332 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY DICKENS Owner/Sole Member 248-477-5222 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009487) |
Enumeration Date | 2008-10-16 |
Last Update Date | 2009-02-17 |