| NPI | 1295061596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON TYLER MCGILLEM Owner/Doctor 317-270-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002450A) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |