| NPI | 1306017157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CHARLES MCGUCKIN Owner 219-531-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: IN 08001021A) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2011-11-25 |