| NPI | 1700031572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALBERT VANDERSLUIS President 219-924-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002178A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08001442A) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |