NPI | 1447492319 |
---|---|
Entity Type | Organization |
Authorized Contact | MOLLY MAE FLYNN Chiropractor/Owner 715-379-6941 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4377-12) |
Enumeration Date | 2009-03-24 |
Last Update Date | 2015-01-27 |