| NPI | 1043223670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHANE WINGER Secretary Of The Corporation 765-742-2716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 51000400A) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2009-02-11 |