| NPI | 1265574495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANGELO DORN Owner 410-420-2381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S01922) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 03508) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2012-09-26 |