NPI | 1104305846 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID J KLOSTERMAN Practice Owner 937-623-1906 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH12491) |
Enumeration Date | 2018-08-13 |
Last Update Date | 2018-10-08 |