| NPI | 1114452091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA SANDSTROM GONZALEZ Chiropractor/Owner 414-482-5282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 5272-12) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2020-01-23 |