NPI | 1609193887 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE MARIE ROSEBERRY Doctor Of Chiropractic 712-660-0997 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO 2009038320) |
Enumeration Date | 2010-04-27 |
Last Update Date | 2010-04-27 |