| NPI | 1437196722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH STEVEN HIDEMAN President 574-533-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001551) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |