| NPI | 1285999524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MARIE DERRICK Owner/Chiropractor 414-328-1734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4546-12) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2018-04-27 |