| NPI | 1447559935 |
|---|---|
| Former Legal Business Name | MOLINE CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | WAYNE DAVIS Owner 563-650-4169 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.011236) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2020-02-11 |