| NPI | 1154626463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ROBERT KINDERMAN Chiropractor/President/Co Owner 715-386-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4652-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4655-12) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |