| NPI | 1548512742 |
|---|---|
| Former Legal Business Name | BEMIS AND WILDERMAN ENTERPRISES LLC |
| Entity Type | Organization |
| Authorized Contact | F RYAN BEMIS Owner 618-433-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.00841) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.008175) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2016-04-11 |