| NPI | 1013925007 |
|---|---|
| Other Name | MIKE F VANDEWALLE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX DC2771) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 04589) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2016-11-02 |