| NPI | 1275699126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA E. MARSDEN Office Manager 232-877-2196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: WI 3753-012) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |