| NPI | 1427179787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MEYERS Managing Physician 574-259-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: IN 51000262A) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2010-03-31 |