| NPI | 1154594059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE MOXON President/Doctor 920-907-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3019 - 012) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |