NPI | 1326108804 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA RYAN CLEVELAND Vice President 715-425-0333 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3600) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2013-01-23 |