NPI | 1083600654 |
---|---|
Doing Business As | DE PERE CHIROPRACTIC CENTER |
Entity Type | Organization |
Authorized Contact | JACESON L. HAUSER Owner 920-336-2921 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2005-09-20 |
Last Update Date | 2018-03-21 |