| NPI | 1205960515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ANDREW MANDICH Chiropractor 219-924-4456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08000721A) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2011-11-02 |