| NPI | 1790118982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE MICHAEL MICHAUD President/ CEO 907-433-9973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 512) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-11-15 |