| NPI | 1013959766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND M JANUSZ President 414-643-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 2411012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3936012) |
| 207Q00000X Family Medicine (Licence: WI 27806021) | |
| 207R00000X Internal Medicine (Licence: WI 37239) | |
| 225100000X Physical Therapist (Licence: WI 642024) | |
| 225700000X Massage Therapist (Licence: WI 1238046) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |