| NPI | 1023235330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM MAKAREWICZ Owner 636-936-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO CE006217) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO CE006567) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |