| NPI | 1275651176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M ETTLINGER Owner/Single Member 410-356-9939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 01788) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2012-03-01 |