| NPI | 1811064421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T LUNDIUS Doctor Owner 765-662-0395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 0800619A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08001730A) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-12-14 |