HEALTHSOURCE OF CORALVILLE, PC

CORALVILLE, IA
NPI1376811471
Entity TypeOrganization
Authorized ContactJEFFREY WISDO
Owner
319-373-7576
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: IA  06595)
Enumeration Date2011-12-05
Last Update Date2011-12-05
Business Address
HEALTHSOURCE OF CORALVILLE, PC
18010 2ND STREET SUITE 170
CORALVILLE, IA 52241
Phone number: 319-373-7576
Mailing Address
HEALTHSOURCE OF CORALVILLE, PC
18010 2ND STREET SUITE 170
CORALVILLE, IA 52241
Phone number: 319-373-7576