NPI | 1578804316 |
---|---|
Entity Type | Organization |
Authorized Contact | LANCE ALLEN WIEGEL Owner 701-202-4747 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 921) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 922) |
171100000X Acupuncturist | |
Enumeration Date | 2013-03-04 |
Last Update Date | 2024-02-16 |