NPI | 1407454424 |
---|---|
Professional Name | MIKEL MARSHALL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.013610) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OH DC-05001) |
111NR0400X (Licence: IL 038.013610) | |
Enumeration Date | 2020-10-12 |
Last Update Date | 2023-07-02 |