| NPI | 1386852481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH FISCELLA President 314-353-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: MO 4167) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2020-08-22 |