NPI | 1447211560 |
---|---|
Entity Type | Organization |
Authorized Contact | VICKI COLLEEN KOEBERNICK Chiropractor Owner 605-388-0073 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 870) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2008-01-25 |