NPI | 1467716308 |
---|---|
Entity Type | Organization |
Authorized Contact | OTTO WALDEMAR KRUEGER Chiropractor 515-964-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: IA 06749) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2012-06-26 |