| NPI | 1336292614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JAMES BELLEAU Doctor 920-406-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: WI 2670-012) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |