| NPI | 1699763417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE KAY RIDDLE President 269-945-5441 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI dr0007688) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI dr007605) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2013-06-10 |