| NPI | 1437327533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MICHAEL STACKIS Chiropractor 563-582-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06739) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2011-02-04 |