| NPI | 1992840136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J SUSZKO President 810-750-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301007718) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
| 111NR0200X Chiropractor, Radiology (Licence: MI 2301007718) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-11-28 |