| NPI | 1003355413 |
|---|---|
| Former Legal Business Name | 100 PERCENT CHIROPRACTIC MARTIN LLC |
| Entity Type | Organization |
| Authorized Contact | BROCK MARTIN Chiropractor 715-490-9529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2024-09-17 |