| NPI | 1255677340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ADAM ALEXANDER Owner/President 262-484-4165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: WI 4717-12) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2024-06-06 |