| NPI | 1295161636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD D FISCHER President 920-915-0526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: WI 2436) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |