Griesbaum Family Chiropractic S C

NPI #1356637938 in Normal, Illinois

Provider Information

NPI Number: 1356637938
Entity Type: Organization
Organization Name: Griesbaum Family Chiropractic S C
Primary Specialty: Chiropractor
Enumeration Date: Jun 22, 2011
Last Updated: Feb 10, 2012

Practice Location

Address: 1607 VISA DR
Address 2: 1A
City: Normal
State: Illinois
ZIP Code: 61761-2137
Phone: (309) 268-9888

Authorized Official

Name: DR. TIMOTHY JOSEPH GRIESBAUM, D.C.
Title: OWNER
Phone: (309) 268-9888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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