| NPI | 1023179942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN J KLUSENDORF Dr Of Chiropractic Owner 920-735-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 1690) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2011-06-30 |