| NPI | 1770884520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT EDWARD KRUPP Chiropractic Physician/Owner 419-447-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OH 4040) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2014-12-05 |