NPI | 1538501366 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK DOUGLAS MAEYAERT Owner/Chiropractor 712-339-4848 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007652) |
Enumeration Date | 2013-07-22 |
Last Update Date | 2024-02-07 |