| NPI | 1841376688 |
|---|---|
| Doing Business As | WILLISTON CHIROPRACTIC AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARNA MICHELLE BISACCIA VP Physician 802-863-2272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2010-12-03 |