NPI | 1053461772 |
---|---|
Former Legal Business Name | DYNAMIC CHIROPRACTIC CLINIC OF FITCHBURG, LLC |
Entity Type | Organization |
Authorized Contact | KURT ROBERT STEIN Owner/Doctor 608-273-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WI 3835) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2013-11-27 |