| NPI | 1174906168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BONIKOWSKE Owner 414-837-4468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: WI 4606-012) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-08-10 |