| NPI | 1053933911 |
|---|---|
| Doing Business As | WILD CHIROPRACTIC CARE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL R WILD Owner 804-651-2247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |