| NPI | 1174723084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CLARENCE BRUNS Chiropractor/Owner 920-458-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WI 1362-012) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |