| NPI | 1043390081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY M LARSON-BRUNNER Partner 207-854-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ME CR1288) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ME CR1284) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2015-12-17 |