| NPI | 1720135817 |
|---|---|
| Other Name | TARAS LEON NACHWOSTACH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301004290) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC-002527L) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2009-01-07 |