NPI | 1649462672 |
---|---|
Doing Business As | QUAD CITY NEUROLGY AND SPINE |
Entity Type | Organization |
Authorized Contact | BRIAN JAY ANSEEUW Owner 309-764-4729 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IL 042618374) |
Enumeration Date | 2007-08-14 |
Last Update Date | 2013-10-03 |