NPI | 1063111847 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDER O DALTON Owner 989-792-6702 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2023-03-01 |
Last Update Date | 2025-05-28 |