| NPI | 1265816342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW M BRAUN Founder, Athletic Trainer 920-209-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WI 1145-39) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |