NPI | 1013103225 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY JAMES OTTO Owner/ President/Doctor 920-965-7757 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 12-4315) |
Enumeration Date | 2007-09-20 |
Last Update Date | 2007-09-20 |