| NPI | 1003151366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK M FLYNN Chiropractor 920-733-3371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WI 3623-012) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |