| NPI | 1245545136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC D. DITTY Owner/Chiropractor 920-434-2615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4204-012) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |