Structure & Function

NPI #1033563242 in Plymouth, Michigan

Provider Information

NPI Number: 1033563242
Entity Type: Organization
Organization Name: Structure & Function
Primary Specialty: Chiropractor
Enumeration Date: Apr 14, 2016
Last Updated: May 31, 2016

Practice Location

Address: 595 FOREST AVE
Address 2: SUITE- 7B
City: Plymouth
State: Michigan
ZIP Code: 48170-1775
Phone: (734) 335-3635

Authorized Official

Name: DR. OTTO ALBERT GEISEMAN IV, D.C
Title: CHIROPRACTOR
Phone: (248) 497-1034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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