| NPI | 1083711212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A WISMAN Owner/Chiropractor 425-637-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA 601847969) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-09-14 |