NPI | 1336420751 |
---|---|
Entity Type | Organization |
Authorized Contact | TYLER SKIBBA Chiropractor, Member 715-323-0389 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4790-012) |
Enumeration Date | 2011-08-30 |
Last Update Date | 2020-11-04 |