| NPI | 1528360351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY E WIEDERHOLD Owner/ Operator 269-327-4813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009586) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |