| 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 |