| NPI | 1508826942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALAN WICKS Director 563-359-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: IA A5695) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-08-22 |