ACTIVE LIFESTYLE CHIROPRACTIC,SC

WAUTOMA, WI
NPI1194801191
Entity TypeOrganization
Authorized ContactDAVID MICHAEL GRUSZKA
Doctor
920-787-0122
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: WI  3391)
Enumeration Date2006-10-31
Last Update Date2020-08-22
Business Address
ACTIVE LIFESTYLE CHIROPRACTIC,SC
140 N. TOWNLINE RD.
WAUTOMA, WI 54982-0246
Phone number: 920-787-0122
Mailing Address
ACTIVE LIFESTYLE CHIROPRACTIC,SC
PO BOX 246
WAUTOMA, WI 54982-0246
Phone number: 920-787-0122
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