| NPI | 1205867538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY C KIRCHBERG Chiropractor 920-623-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 70901-012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 70902-012) |
| 111N00000X Chiropractor (Licence: WI 3989-012) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |