| NPI | 1063832798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY SOBOROWICZ Member 715-834-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3103) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3207) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |