| NPI | 1407119092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN GLAUS President 563-289-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |