| NPI | 1255511200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK E MCCULLOUGH Chiropractor/Owner 269-964-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI MM007869) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2012-10-30 |